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NPI Code Detail

MEDICARE: ROMAN B CHAM MD

MEDICARE:   ROMAN B CHAM  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistA37068CA
2207X00000XOrthopaedic Surgery PhysicianA37068CA

General Provider Information

NPI Number : 1841252988
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROMAN B CHAM MD
Provider Business Mailing Address
First Line : 7339 EL CAJON BLVD
Second Line : SUITE B
City : LA MESA
State : CA
Zip : 91942-7435
Country : US
Telephone Number : 619-668-0900
Fax Number : 619-668-0265
Provider Business Practice Location Address
First Line : 7339 EL CAJON BLVD
Second Line : SUITE B
City : LA MESA
State : CA
Zip : 91942-7435
Country : US
Telephone Number : 619-668-0900
Fax Number : 619-668-0265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 02/26/2014

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Directions to “ ROMAN B CHAM MD” Practice Location

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