Molly E Griffin
Procedural Dermatology
1260 15th St Ste 1112
Santa Monica
, California 90404-1146
Molly E Griffin
Procedural Dermatology
1260 15th St Ste 1112
Santa Monica
, California 90404-1146
(310) 255-0209
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Molly E Griffin
- 1260 15th St Suite 1112
- Santa Monica, CA
- Zip : 90404-1135
- Fax : (310) 255-0209
- Phone : (310) 255-0221
Second Address
- Molly E Griffin
- 1260 15th St Ste 1112
- Santa Monica, CA
- Zip : 90404-1146
- Fax : (310) 255-0209
- Phone : (310) 255-0221
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | A055479 | CA |
National Provider Identifier
| NPI | 1225104649 |
|---|---|
| Provider Name | Molly E Griffin |
| First Address | Santa Monica, CA 90404-1135 |
| Second Address | Santa Monica, CA 90404-1146 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/11/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.