Search › California › 213ES0103X
Russell Grootegoed, DPM
NPI 1194767921 · on the registry since 2006 · sole proprietor
Practice
- Address
- 601 W 9th St
San Pedro, CA 90731 - Phone
- (310) 833-3583
- Fax
- (310) 833-1976
- Organisation at this address
- Russell A. Grootegoed Dpm
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Also registered as
- 335E00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California