Griffith, Jack W
Griffith, Jack W is an sole proprietor health care provider with primary practice located at 8273 White Oak Ave , Rancho Cucamonga CA 91730-7671. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Griffith, Jack W can be contacted via phone (909) 948-8888.Contact Information
Primary practice address
8273 White Oak Ave
Rancho Cucamonga CA 91730-7671
Phone: (909) 948-8888
Fax: (909) 948-8839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 20A9405 | California |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 20A9405 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20A9405 | California |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 20A9405 | California |
Profile Details
| NPI number | 1407884315 |
|---|---|
| LBN Legal business name | Griffith, Jack W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Jul 6th, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407884315 | NPPES |
| California | MEDICAID | 00AX94050 |
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