Organization
ROSHNY PATTATHU MD PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSHNY PATTATHU MD (PRESIDENT)
(949) 425-8735
Entity
Organization
Contact information
Practice address
999 N TUSTIN AVE STE 109, SANTA ANA, CA 92705-6501
(714) 775-7700
(714) 464-2222
Mailing address
17 MOMENTO, IRVINE, CA 92603-4239
(949) 425-8735
(714) 464-2222
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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