Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL O ROACH, MD
ActiveMICHAEL O ROACH, MD is a Geriatric Medicine healthcare provider located in LA MIRADA, California. NPI 1417970583 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · LA MIRADA, CA
Registration Details
- NPI Number
- 1417970583
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2006 (20.097715193321 yrs)
- Last Updated
- Mar 12, 2012
- Licenses
-
G32190 (CA)G32190 (CA)
Practice Information
- Address
-
15625 IMPERIAL HWYLA MIRADA, CA, 906381301Browse CA providers · Browse ZIP 90638
- Phone
- 5629023000
- Fax
- 5629029563
- Primary Specialty
-
Geriatric Medicine
207QG0300X
- Additional Specialty
- Internal Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.