Individual
JUDITH HONG GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2725 MENDOCINO AVE, SANTA ROSA, CA 95403-2805
(707) 545-4537
(707) 545-6726
Mailing address
3536 MENDOCINO AVE, STE 200, SANTA ROSA, CA 95403-3634
(707) 525-6485
(707) 573-6918
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A110009
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083949853
—
CA
01
—
P01774455
RAILROAD MEDICARE
CA
Enumeration date
10/12/2009
Last updated
05/22/2025
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