Organization · Type 2 NPI
Stephen J. Groth,md,inc
Clinic/Center · San Juan Capistrano, CA
NPI number
1710218904
Active
Practice location
32272 Camino Capistrano, Suite A
San Juan Capistrano, CA 92675-3742
Fax (949) 545-6931
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | G36991 (CA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1710218904
Stephen J. Groth,md,inc's National Provider Identifier is 1710218904, issued on Jan 27, 2010. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in San Juan Capistrano, CA. The record was last updated on Jan 27, 2010.