Healthcare Provider Details

I. General information

NPI: 1811802507
Provider Name (Legal Business Name): ADRIAN PAUL GROFF
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3790 VIA DE LA VALLE STE 205
DEL MAR CA
92014-4250
US

IV. Provider business mailing address

7878 HENDRICKS DR
SAN DIEGO CA
92126-3546
US

V. Phone/Fax

Practice location:
  • Phone: 858-350-6500
  • Fax:
Mailing address:
  • Phone: 619-764-9489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number310816
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: