Organization
ROBERT ALLEN GROTH
Active
Other names
robert groth and associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ALLEN GROTH OWNER (PRESIDENT)
(310) 987-4478
Entity
Organization
Contact information
Practice address
921 S BEACON ST, FLOOR 2, SAN PEDRO, CA 90731
(131) 083-3835
Mailing address
1840 S GAFFEY ST, SUITE 239, SAN PEDRO, CA 90731-5324
(310) 833-8356
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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