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Organization
NORA ROMAN M.D. A PROFESSIONAL CORPORATION
Active
Organization
NORA ROMAN M.D. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORA ROMAN M.D. (PRESIDENT)
(916) 535-7315
Entity
Organization
Contact information
Practice address
1100 MARSHALL WAY, PLACERVILLE, CA 95667-6533
(530) 622-1441
Mailing address
500 S MAIN ST, 1210, ORANGE, CA 92868-4507
(714) 560-1580
(714) 560-1585
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G443410
BLUE SHIELD
CA
05
—
00G443410
—
CA
Enumeration date
08/03/2006
Last updated
08/22/2020
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