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Tim Roham D.o. Inc
Clinic/Center in San Clemente, California
NPI 1124354592

Tim Roham D.o. Inc is a Clinic/Center based in San Clemente, CA. Tim Roham D.o. Inc practices in San Clemente, CA. The NPI Number for Tim Roham D.o. Inc is 1124354592 and holds a License No. 29667 (California).

The current practice location address for Tim Roham D.o. Inc is 629 Camino De Los Mares, San Clemente, CA and can be reached out via phone at 949-248-1900 and via fax at 949-248-1956.

Location: 629 Camino De Los Mares, San Clemente, CA, 92673-2834
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124354592
Provider Name
Tim Roham D.o. Inc
Credential
Provider Entity Type
Organization
Address
629 Camino De Los Mares, San Clemente, CA, 92673-2834
Phone Number
949-248-1900
Fax Number
949-248-1956
Provider Enumeration Date
10/20/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
629 Camino De Los Mares
City
San Clemente
State
California
Zip
92673-2834
Phone Number
949-248-1900
Fax Number
949-248-1956
person
Provider Business Mailing Address Details
Address
629 Camino De Los Mares
City
San Clemente
State
California
Zip
92673-2834
Phone Number
949-248-1900
Fax Number
949-248-1956
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
29667 (California)
Definition
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).
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