Provider Demographics
NPI:1609924240
Name:GARIFFO, RONALD J (DC)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:J
Last Name:GARIFFO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1663 ROLLINS RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-2301
Mailing Address - Country:US
Mailing Address - Phone:650-697-0600
Mailing Address - Fax:650-652-7805
Practice Address - Street 1:1663 ROLLINS RD
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-2301
Practice Address - Country:US
Practice Address - Phone:650-697-0600
Practice Address - Fax:650-652-7805
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC12676111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC12675OtherCA LIC#