Individual
MR. MICHAEL M ROHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA.
Contact information
Practice address
302 N EL CAMINO REAL STE 112, SAN CLEMENTE, CA 92672-4776
(949) 489-9898
(949) 489-2569
Mailing address
647 CAMINO DE LOS MARES, 230, SAN CLEMENTE, CA 92673-2825
(949) 230-5343
(949) 218-4868
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15771
CA
Other
Enumeration date
02/02/2011
Last updated
05/05/2020
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