Provider Demographics
NPI:1154645281
Name:GRIFFITH AND RAMIREZ CHIROPRACTIC CENTER, INC.
Entity Type:Organization
Organization Name:GRIFFITH AND RAMIREZ CHIROPRACTIC CENTER, INC.
Other - Org Name:OPTIMIZED LIVING WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-362-7942
Mailing Address - Street 1:14120 BEACH BLVD
Mailing Address - Street 2:SUITE 213
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-4454
Mailing Address - Country:US
Mailing Address - Phone:714-898-9040
Mailing Address - Fax:
Practice Address - Street 1:14120 BEACH BLVD
Practice Address - Street 2:SUITE 213
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-4454
Practice Address - Country:US
Practice Address - Phone:714-898-9040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 31329111N00000X
CADC31320111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty