Stephen John Groth in Laguna Beach - Addiction Medicine
Stephen John Groth - NPI 1982762761
Stephen John Groth is a Addiction Medicine in Laguna Beach, California. Stephen John Groth practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Stephen John Groth is 1982762761. The last update date is 2012-10-06.
Stephen John Groth's current location address is 554 Diamond St, Laguna Beach, California. You can contact this provider via phone number 9493067383 and fax number 9494971141. The mailing address for Stephen John Groth is 554 Diamond St, Laguna Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen John Groth |
|---|---|
| Address | 554 Diamond St, Laguna Beach, California |
| Phone Number | 9493067383 |
| Fax Number | 9494971141 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1982762761 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2012-10-06 |
Provider Mailing Address Detail
| Address | 554 Diamond St |
|---|---|
| City | Laguna Beach |
| State | California (CA) |
| Post Code | 926513404 |
| Phone Number | 9493067383 |
| Fax Number | 9494971141 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Qa0401X |
| Licence No | G36991 |
|
Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G369910 | CA | -- |
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What is the Stephen John Groth's unique identification number?
The Stephen John Groth has been assigned the NPI (National Provider Identifier) Number 1982762761 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Stephen John Groth located?
The Stephen John Groth is located at 554 Diamond St, Laguna Beach, CA 926513404.
What is Stephen John Groth's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Stephen John Groth is Addiction Medicine, and the taxonomy code that classifies this field of practice is 207Qa0401X.
On what date did the Stephen John Groth receive its 1982762761 assignment from the Centers for Medicare & Medicaid Services?
The Stephen John Groth was assigned its 1982762761 by the Centers for Medicare & Medicaid Services on 2006-12-05.
As of what date was the information regarding Stephen John Groth, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stephen John Groth, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-06.
NPI Number: 1316940851
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