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Individual

JAMES HENRY ROUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1010 W LA VETA AVE STE 750, ORANGE, CA 92868-4312
(714) 639-9401
(714) 919-8804
Mailing address
1010 W LA VETA AVE STE 750, ORANGE, CA 92868-4312
(714) 639-9401
(714) 919-8804

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
G62370
CA
207RP1001X
Pulmonary Disease Physician
G62370
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1912919804
TYPE 2 NPI
CA
05
1912919804
CA
01
CG5665
RAIL ROAD GROUP PTAN
CA
01
G62370
MEDICAL LICENSE
CA
01
P00703134
RAIL ROAD MEMBER PTAN
CA
Enumeration date
10/16/2006
Last updated
07/21/2022
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