Dominique Tiera Griffin (NPI# 1164946992, PAC ID# 1658622592) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164946992 |
| PAC ID by PECOS | 1658622592 |
| Professional Enrollment ID | I20180917000896 |
| Full Name | Dominique Tiera Griffin |
| Organization Legal Name | MEMORIAL COUNSELING ASSOCIATES |
| Address |
4525 E Atherton St Long Beach CA 90815-3700 |
| Phone Number | 5629610155 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4183617756 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050135 | SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD |
| Address | Phone | Organization |
|---|---|---|
| 3831 Hughes Ave, Suite 506, Culver City, CA 90232-6860 | 3105500335 | TOLWIN PSYCHIATRIC MEDICAL GROUP INC |
| 4525 E Atherton St, Long Beach, CA 90815-3700 | 5629610155 | MEMORIAL COUNSELING ASSOCIATES |
| Organization Legal Name | MEMORIAL COUNSELING ASSOCIATES |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Choudhary B Patel | Psychiatry | Memorial Counseling Associates | 4525 E Atherton St, Long Beach, CA 90815-3700 |
| Vuong D Nguyen | Psychiatry | Memorial Counseling Associates | 4525 E Atherton St, Long Beach, CA 90815-3700 |
| Anne C Thompson | Nurse Practitioner | Memorial Counseling Associates | 4525 E Atherton St, Long Beach, CA 90815-3700 |
| Shelby Helena Bollenbacher | Clinical Social Worker | Memorial Counseling Associates | 4525 E Atherton St, Long Beach, CA 90815-3700 |
| Dharmesh N Sheth | Psychiatry | Memorial Counseling Associates | 4525 E Atherton St, Long Beach, CA 90815-3700 |
| James Henry Jen Kin | Psychiatry | Memorial Counseling Associates | 4525 E Atherton St, Long Beach, CA 90815-3700 |
| Armen K Goenjian | Psychiatry | Memorial Counseling Associates | 121 S Long Beach Blvd, Compton, CA 90221-3423 |
| Hanaa F Soliman | Psychiatry | Memorial Counseling Associates | 4525 E Atherton St, Long Beach, CA 90815-3700 |
| Kathleen A Kosche | Clinical Social Worker | Memorial Counseling Associates | 4525 E Atherton St, Long Beach, CA 90815-3700 |
| Frank Martinez | Clinical Social Worker | Memorial Counseling Associates | 4525 E Atherton St, Long Beach, CA 90815-3700 |
| Street Address |
4525 E ATHERTON ST |
| City | LONG BEACH |
| State | CA |
| Zip | 90815-3700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Choudhary B Patel | Psychiatry | Memorial Counseling Associates | 4525 E Atherton St, Long Beach, CA 90815-3700 |
| Vuong D Nguyen | Psychiatry | Memorial Counseling Associates | 4525 E Atherton St, Long Beach, CA 90815-3700 |
| Anne C Thompson | Nurse Practitioner | Memorial Counseling Associates | 4525 E Atherton St, Long Beach, CA 90815-3700 |
| Shelby Helena Bollenbacher | Clinical Social Worker | Memorial Counseling Associates | 4525 E Atherton St, Long Beach, CA 90815-3700 |
| Matthew J Miller | Psychologist, Clinical | 4525 E Atherton St, Long Beach, CA 90815-3700 | |
| Dharmesh N Sheth | Psychiatry | Memorial Counseling Associates | 4525 E Atherton St, Long Beach, CA 90815-3700 |
| James Henry Jen Kin | Psychiatry | Memorial Counseling Associates | 4525 E Atherton St, Long Beach, CA 90815-3700 |
| Hanaa F Soliman | Psychiatry | Memorial Counseling Associates | 4525 E Atherton St, Long Beach, CA 90815-3700 |
| Kathleen A Kosche | Clinical Social Worker | Memorial Counseling Associates | 4525 E Atherton St, Long Beach, CA 90815-3700 |
| Sarkis T Arevian | Psychiatry | 4525 E Atherton St, Long Beach, CA 90815-3700 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas R Hendon | Internal Medicine | 1777 Bellflower Blvd, Suite 203, Long Beach, CA 90815 | |
| Kevin Vincent Hartsough | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| Josiah Leung | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| Cameron M Rau | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| William Buchanan Erb | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| James Kuan Lee | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| Huimin Wu | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| Mark C Zipser | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| Nina Lee | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| Kevin Nguyen | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| Find all physicians in zip 90815 | |||
| City | LONG BEACH |
| Zip Code | 90815 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LONG BEACH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Dominique Tiera Griffin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.