Tim Roham D.o. INC

NPI #1124354592 in San Clemente, California

Provider Information

NPI Number
1124354592
Entity Type
Organization
Organization Name
Tim Roham D.o. INC
Primary Specialty
Clinic/Center
Enumeration Date
Oct 20, 2009
Last Updated
Oct 20, 2009

Practice Location

Address
629 CAMINO DE LOS MARES
Address 2
SUITE 103
ZIP Code
92673-2834
Phone
(949) 248-1900

Authorized Official

Name
DR. TIMOTHY OMID ROHAM, D.O.
Title
PHYSICIAN
Phone
(949) 248-1900

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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