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General NPI Number Information
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NPI Number | 1467191767
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Entity Type | Individual
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Provider Name | AMIT GROVER MBBS
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Gender | Male
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Dates
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Enumeration Date | 06/03/2022
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 340 4TH AVE STE 10
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City | CHULA VISTA
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State | CA
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Zip | 91910-3813
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Country | US
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Telephone | 619-934-2215
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Fax | 619-500-5955
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Provider Business Mailing Address
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Address Line | 14850 ROSCOE BLVD
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City | PANORAMA CITY
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State | CA
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Zip | 91402-4618
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A203684
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License Number State | CA
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