Organization
EDWARD G. ROHALY,M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD GEORGE ROHALY M.D. (PRESIDENT)
(949) 640-0434
Entity
Organization
Contact information
Practice address
360 SAN MIGUEL DR, SUITE 309, NEWPORT BEACH, CA 92660-7829
(949) 640-0434
(949) 640-0277
Mailing address
360 SAN MIGUEL DR, SUITE 309, NEWPORT BEACH, CA 92660-7829
(949) 640-0434
(949) 640-0277
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
G62009
CA
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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