Dr. Susan Roche
Oral and Maxillofacial Pathology
11092 Anderson Street
Loma Linda
, California 92354
Dr. Susan Roche
Oral and Maxillofacial Pathology
11092 Anderson Street
Loma Linda
, California 92354
(909) 558-4613
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Susan Roche
- 11092 Anderson Street
- Loma Linda, CA
- Zip : 92354
- Phone : (909) 558-4613
Second Address
- Dr. Susan Roche
- 11092 Anderson Street
- Loma Linda, CA
- Zip : 92354
- Phone : (909) 558-4613
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 41530 | CA |
National Provider Identifier
| NPI | 1679780670 |
|---|---|
| Provider Name | Dr. Susan Roche |
| First Address | Loma Linda, CA 92354 |
| Second Address | Loma Linda, CA 92354 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 41530 | STATE LICENSE NUMBER (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.