Jaclyn M De Groot
Medical Specialty
Professional ID
- NPI: 1306186259
- PECOS ID: 6800116369
- Enrollment ID: I20150522001879
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2012
Hospital Service
- Hospital CCN1: 050224
- Business Name (LBN)1: Hoag Memorial Hospital Presbyterian
Medical Practices
- Organization Name: St Joseph Heritage Healthcare
- Group Practice ID assigned by PECOS: 8921993205
- Number of Group Practice member: 989
Location
- Address1: 100 E Valencia Mesa Dr
- Address2: Suite 105
- City: Fullerton
- State: California
- Zip Code: 92835
- Phone Number: (714)446-5200
Location
- Address1: 16205 Sand Canyon
- Address2: Suite 100d
- City: Irvine
- State: California
- Zip Code: 92618
- Phone Number: (949)557-0000
Location
Location
- Address1: 500 Superior Ave
- Address2: Suite 160
- City: Newport Beach
- State: California
- Zip Code: 92663
- Phone Number: (949)791-3006
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):