Organization
ROSH OB-GYN ULTRASOUND OF CA P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ROSHAN MD (OWNER)
(516) 439-4408
Entity
Organization
Contact information
Practice address
415 OLD NEWPORT BLVD, SUITE 100, NEWPORT BEACH, CA 92663-4248
(949) 642-3606
(949) 548-7800
Mailing address
PO BOX 231023, GREAT NECK, NY 11023-0023
(212) 725-0123
(212) 725-3738
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
55324
CA
Other
Enumeration date
06/30/2015
Last updated
10/29/2015
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