Organization
TIM ROHAM D.O. INC
Active
Other names
Advance Laser & Cosmetic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY OMID ROHAM D.O. (PHYSICIAN)
(949) 248-1900
Entity
Organization
Contact information
Practice address
629 CAMINO DE LOS MARES, SUITE 103, SAN CLEMENTE, CA 92673-2834
(949) 248-1900
(949) 248-1956
Mailing address
629 CAMINO DE LOS MARES, SUITE 103, SAN CLEMENTE, CA 92673-2834
(949) 248-1900
(949) 248-1956
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
29667
CA
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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