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Organization
OCHCA
Active
Organization
OCHCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE ROTH PHD (PSYCHOLOGIST 11)
(714) 480-6600
Entity
Organization
Contact information
Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4519
(714) 480-6600
(714) 568-4527
Mailing address
405 W 5TH ST, SANTA ANA, CA 92701-4519
(714) 480-6600
(714) 568-4527
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY11263
CA
Other
Enumeration date
11/01/2006
Last updated
06/06/2008
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