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Individual

ROY LOIL DORMAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1111 WEST LA PALMA AVE, ANAHEIM, CA 92801-2804
(714) 999-6080
(714) 999-3924
Mailing address
PO BOX 4505, WOODLAND HILLS, CA 91365-4505
(818) 597-3800
(818) 879-8272

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G87218
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RHL162429
DEPT OF HEALTH SERVICES
CA
Enumeration date
11/29/2006
Last updated
03/07/2023
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