TIM ROHAM D.O. INC
Ambulatory Health at Camino De Los Mares, San Clemente, CA

License number
California 29667
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. TIMOTHY OMID ROHAM D.O.
Title: PHYSICIAN
Phone: (949) 248-1900
Address
Address
629 Camino De Los Mares SUITE 103, San Clemente, CA 92673
National Provider ID: 1124354592
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TIM ROHAM D.O. INC at bizstanding.com

TIM ROHAM D.O., INC

San Clemente, CA  -  Los Angeles, CA

Status:
Inactive
Industry:
Osteopathic Physician's Office, Business Services at Non-Commercial Site, Emergency Medicine
Doing business as:
Tim Rohan DO Inc<br>Tim Roham, D.O
Registration:
Aug 7, 2003
Phone:
(949) 496-1122 (Phone)
Addresses:
629 Camino De Los Mares #103, San Clemente, CA 92673 (Physical)
2555 Granville Ave, Los Angeles, CA 90064
654 Camino De Los Mares, San Clemente, CA 92673
State ID:
C2555466
Business type:
Articles of Incorporation
Principals:
Tim Roham (President),Timothy O. Roham Principal, inactive

Ambulatory Health licenses in California










Other Doctors licenses in California