Organization
ROGER L. MCCLELLAN, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER LEWIS MCCLELLAN MD (PRESIDENT)
(714) 960-7977
Entity
Organization
Contact information
Practice address
6311 TURNBERRY CIR, HUNTINGTON BEACH, CA 92648-5584
(714) 960-7977
(714) 960-8534
Mailing address
6311 TURNBERRY CIR, HUNTINGTON BEACH, CA 92648-5584
(714) 960-7977
(714) 960-8534
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A25690
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A25690
—
CA
Enumeration date
04/27/2012
Last updated
03/07/2023
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