Organization
ADVANCE OC SURGICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY OMID ROHAM D.O. (CEO)
(949) 212-7133
Entity
Organization
Contact information
Practice address
3500 S. BRISTOL ST., SUITE 200, SANTA ANA, CA 92704
(714) 557-0777
(714) 557-0709
Mailing address
3500 S. BRISTOL ST., SUITE 200, SANTA ANA, CA 92704
(714) 557-0777
(714) 557-0709
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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