Groth, Stephen John

Groth, Stephen John is an sole proprietor health care provider with primary practice located at 554 Diamond St , Laguna Beach CA 92651-3404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Groth, Stephen John can be contacted via phone (949) 306-7383.

Contact Information

Primary practice address
554 Diamond St Laguna Beach CA 92651-3404
Phone: (949) 306-7383
Fax: (949) 497-1141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G36991 California
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X G36991 California

Profile Details

NPI number 1982762761
LBN Legal business name Groth, Stephen John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Oct 6th, 2012 - about 12 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982762761 NPPES
California MEDICAID 00G369910

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