GEORGE W GROTH IV

Dr GEORGE W GROTH IV is a male medical professional, specializing in Internal Medicine. He graduated in 1977 from University Of California, Ucla School Of Medicine.

Contact

6037 LA GRANADA C
RANCHO SANTA FE
CA
92067

Tel: 8587562116

GEORGE W GROTH IV Information

Npi 1487759825
Pac Id 0143355206
Professional Enrollment Id I20100316000138
Last Name GROTH
First Name GEORGE
Middle Name W
Suffix IV
Gender M
Credential
Medical School Name UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE
Graduation Year 1977
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1 GENERAL PRACTICE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties GENERAL PRACTICE
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 6037 LA GRANADA C
Line 2 Street Address
Marker Of Address Line 2 Suppression
City RANCHO SANTA FE
State CA
Zip Code 92067
Phone Number 8587562116
Hospital Affiliation Ccn 1 050025
Hospital Affiliation Lbn 1 UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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