DR. H. MICHAEL ROARK M.D. NPI 1104989169

NPI Information

NPI: 1104989169
Provider Name: DR. H. MICHAEL ROARK, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
9850 GENESEE AVE
SUITE 130
LA JOLLA, CA
ZIP 92037
Phone: (858) 452-1981
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DR. H. Michael Roark, M.D. is a specialist in La Jolla, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. H. Michael Roark, M.D. NPI is 1104989169. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9850 GENESEE AVE
SUITE 130
LA JOLLA, CA
ZIP 92037-224
Phone: (858) 452-1981

The enumeration date for this NPI number is 12/19/2006 and was last updated on 12/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		A39651	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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