Richard Charles Roth
Chiropractor Orthopedic Specialist
655 Camino De Los Mares Ste 121
San Clemente
, California 92673-2809
Richard Charles Roth
Chiropractor Orthopedic Specialist
655 Camino De Los Mares Ste 121
San Clemente
, California 92673-2809
(949) 498-4718
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About
Features
Specialties
- Chiropractor Orthopedic Specialist
Languages spoken
- English
Location
First Address
- Richard Charles Roth
- 655 Camino De Los Mares Ste 121
- San Clemente, CA
- Zip : 92673-2809
- Fax : (949) 498-4718
- Phone : (949) 498-3262
Second Address
- Richard Charles Roth
- 655 Camino De Los Mares Ste 121
- San Clemente, CA
- Zip : 92673-2809
- Fax : (949) 498-4718
- Phone : (949) 498-3262
Reviews
FAQs
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What type of doctor is Richard Charles Roth
In what state does Richard Charles Roth practice in?
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What is Richard Charles Roth ’s gender?
Is Richard Charles Roth a sole practitioner?
Is Richard Charles Roth accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NX0800X | Chiropractor Orthopedic Specialist | 14746 | CA |
National Provider Identifier
| NPI | 1508916230 |
|---|---|
| Provider Name | Richard Charles Roth |
| First Address | San Clemente, CA 92673-2809 |
| Second Address | San Clemente, CA 92673-2809 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/01/2007 |
| Last Update Date | 31/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| DC0147460 | BLUE SHIELD (01) | CA |
| DC14746 | CHIROPRACTIC LICENSE (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.