Organization
RICHMOND E ROESKE A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHMOND E ROESKE MD (PRES)
(951) 296-2244
Entity
Organization
Contact information
Practice address
41877 ENTERPRISE CIR N, STE 110, TEMECULA, CA 92590-5656
(951) 296-2244
(951) 296-3602
Mailing address
41877 ENTERPRISE CIR N, STE 110, TEMECULA, CA 92590-5656
(951) 296-2244
(951) 296-3602
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A64048
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A640480
—
CA
01
—
DD5158
RAILROAD MEDICARE
CA
Enumeration date
09/02/2006
Last updated
09/20/2012
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