person
Mr. Michael M Roham, PA
Medical Physician Assistant in San Clemente, California
NPI 1043516404

Michael M Roham is a Medical Physician Assistant based in San Clemente, CA and is specialized in Medical. Michael M Roham practices in San Clemente, CA and has the professional credentials of PA. The NPI Number for Michael M Roham is 1043516404 and holds a License No. PA15771 (California).

The current practice location address for Michael M Roham is 302 N El Camino Real Ste 112, San Clemente, CA and can be reached out via phone at 949-489-9898 and via fax at 949-489-2569.

Location: 302 N El Camino Real Ste 112, San Clemente, CA, 92673-2825
person
Provider Profile Details
NPI Number
1043516404
Provider Name
Michael M Roham
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
302 N El Camino Real Ste 112, San Clemente, CA, 92673-2825
Phone Number
949-489-9898
Fax Number
949-489-2569
Provider Enumeration Date
02/02/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
302 N El Camino Real Ste 112
City
State
Zip
92672-4776
Phone Number
949-489-9898
Fax Number
949-489-2569
person
Provider Business Mailing Address Details
Address
302 N El Camino Real Ste 112
City
State
Zip
92672-4776
Phone Number
949-489-9898
Fax Number
949-489-2569
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA15771 (California)
Definition
Definition to come...
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