Individual
DR. JANTJE MATTHEW GROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4258 TELEGRAPH RD, VENTURA, CA 93003-3706
(805) 477-5700
(805) 644-5245
Mailing address
800 S VICTORIA AVE, L4615, VCHCA - PHYSICIAN SERVICES, VENTURA, CA 93009-0003
(805) 677-5181
(805) 677-5304
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A102213
CA
Other
Enumeration date
12/05/2008
Last updated
05/21/2021
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