Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tim Roham DO Inc

Organization Clinic/Center · NPI 1124354592

Tim Roham DO Inc is a Clinic/Center in San Clemente, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

629 Camino De Los Mares Ste 103
San Clemente, CA 92673-2834
Phone: (949) 248-1900
Fax: (949) 248-1956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 29667 (CA)

Record details

NPI number1124354592
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Roham — Physician · (949) 248-1900
Other names Advance Laser & Cosmetic
NPI enumeratedOctober 20, 2009
Last updated in NPPESOctober 20, 2009
Mailing address629 Camino De Los Mares, Suite 103, San Clemente, CA 92673-2834

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