Ivar E Roth
Foot & Ankle Surgery
351 Hospital Rd Suite # 407
Newport Beach
, California 92663-3509
Ivar E Roth
Foot & Ankle Surgery
351 Hospital Rd Suite # 407
Newport Beach
, California 92663-3509
(949) 650-6434
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Ivar E Roth
- 351 Hospital Rd Suite # 407
- Newport Beach, CA
- Zip : 92663-3509
- Fax : (949) 650-6434
- Phone : (949) 650-1147
Second Address
- Ivar E Roth
- 351 Hospital Rd Suite # 407
- Newport Beach, CA
- Zip : 92663-3509
- Fax : (949) 650-6434
- Phone : (949) 650-1147
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Is Ivar E Roth a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | E2628A | CA |
National Provider Identifier
| NPI | 1013942606 |
|---|---|
| Provider Name | Ivar E Roth |
| First Address | Newport Beach, CA 92663-3509 |
| Second Address | Newport Beach, CA 92663-3509 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T19214 | (02) |
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.