Organization · Type 2 NPI

Tim Roham D.o. Inc

Clinic/Center · San Clemente, CA

NPI number 1124354592 Active

Practice location

629 Camino De Los Mares, Suite 103
San Clemente, CA 92673-2834

Call (949) 248-1900 Map

Fax (949) 248-1956

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X29667 (CA)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

8 other providers at this address

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About NPI 1124354592

Tim Roham D.o. Inc's National Provider Identifier is 1124354592, issued on Oct 20, 2009. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in San Clemente, CA. The record was last updated on Oct 20, 2009.