Organization
STEPHEN J. GROTH,MD,INC
Active
Parent organization
STEPHEN J GROTH,MD,INC
Other names
TRIAD TREATMENT CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEPHEN J GROTH,MD,INC
Authorized official
DR. STEPHEN JAMES GROTH MD (OWNER)
(949) 545-6930
Entity
Organization
Contact information
Practice address
32272 CAMINO CAPISTRANO, SUITE A, SAN JUAN CAPISTRANO, CA 92675-3742
(949) 545-6930
(949) 545-6931
Mailing address
32272 CAMINO CAPISTRANO, SUITE A, SAN JUAN CAPISTRANO, CA 92675-3742
(949) 545-6930
(949) 545-6931
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
G36991
CA
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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