Provider Demographics
NPI:1629261813
Name:GRIFFIN, AARON LEWIS (DC)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:LEWIS
Last Name:GRIFFIN
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 1:1760 CHICAGO AVE
Mailing Address - Street 2:SUITE J3
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-2300
Mailing Address - Country:US
Mailing Address - Phone:951-781-2200
Mailing Address - Fax:909-781-2220
Practice Address - Street 1:1760 CHICAGO AVE
Practice Address - Street 2:SUITE J3
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-2300
Practice Address - Country:US
Practice Address - Phone:951-781-2200
Practice Address - Fax:909-781-2220
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20201111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor