Individual
IVAR E ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM, MPH
Contact information
Practice address
351 HOSPITAL RD, SUITE # 407, NEWPORT BEACH, CA 92663-3509
(949) 650-1147
(949) 650-6434
Mailing address
351 HOSPITAL RD, SUITE # 407, NEWPORT BEACH, CA 92663-3509
(949) 650-1147
(949) 650-6434
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2628A
CA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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