Individual provider · Type 1 NPI

H. Michael Roark, MD

Specialist · La Jolla, CA

NPI number 1104989169 Active · reactivated Dec 31, 2018

Practice location

9850 Genesee Ave, Suite 130
La Jolla, CA 92037-1224

Call (858) 452-1981 Map

Mailing address

4104 Palisades Rd
San Diego, CA 92116-2043

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA39651 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104989169

H. Michael Roark, MD's National Provider Identifier is 1104989169, issued on Dec 19, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in La Jolla, CA. The record was last updated on Dec 31, 2018.