Organization Name: | ELEONOR LOYOLA GRIFFITH, DO, PC |
NPI Number: | 1427449339 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELEONOR LOYOLA GRIFFITH (PRESIDENT) |
Mailing Address: | 1611 Creekside Dr Ste 101 Folsom |
State: | CA US |
Postal Code: | 956303490 |
Phone Number: | 9169849004 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2015 |
NPI Last Update Date: | 02/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A0A12052 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |