Individual
RICHARD CHARLES ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
655 CAMINO DE LOS MARES STE 121, SAN CLEMENTE, CA 92673-2809
(949) 498-3262
(949) 498-4718
Mailing address
655 CAMINO DE LOS MARES STE 121, SAN CLEMENTE, CA 92673-2809
(949) 498-3262
(949) 498-4718
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
14746
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0147460
BLUE SHIELD
CA
01
—
DC14746
CHIROPRACTIC LICENSE
CA
Enumeration date
01/12/2007
Last updated
03/31/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us