Individual
JASON GROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 764-4624
Mailing address
8405 DORY DR, HUNTINGTON BEACH, CA 92646-6901
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
95023165
CA
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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