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Contact Information

JACK W. GRIFFITH, III, D.O.
7365 CARNELIAN STREET
SUITE 137
RANCHO CUCAMONGA, CA91730-1100
 Phone: 909-948-8888
 Fax: 909-948-8888
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Clinical & Laboratory Dermatological Immunology

207NI0002X 07 Physician/Dermatology
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
 

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Pediatric Dermatology

207NP0225X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for JACK W GRIFFITH III DO · (Female)

NPI Number 1134425036
Status Active
Credentials
Entity Individual
Enumeration date 02/10/2011
Last updated 05/28/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 20A9405
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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