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ADVANCE LASER & COSMETIC
NPI 1124354592
Clinic/Center in San Clemente, CA

Active since October 20, 2009
629 CAMINO DE LOS MARES, SUITE 103, SAN CLEMENTE, CA 92673(949) 248-1900(949) 248-1956 Get Directions Write a Review

NPPES record last updated: October 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advance Laser & Cosmetic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCE LASER & COSMETIC (NPI 1124354592) is a healthcare organization registered as a clinic/center in San Clemente, California and active in the NPI registry since October 2009. The organization lists Timothy Omid Roham, Physician, as its authorized official.

NPPES Registry Identity

NPI1124354592
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTIM ROHAM D.O. INC
Location Address629 CAMINO DE LOS MARES, SUITE 103San Clemente, CA 92673-2834
Mailing Address629 Camino De Los Mares, Suite 103San Clemente, CA 92673-2834 · (949) 248-1900 · Fax (949) 248-1956
Phone(949) 248-1900
Fax(949) 248-1956
Organization SubpartNo
Authorized OfficialTimothy Omid RohamPhysician · (949) 248-1900
Enumeration DateOctober 20, 2009
✔ NPI 1124354592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · 29667
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
629 CAMINO DE LOS MARES, San Clemente, CA 92673
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Other Names 1

Doing Business AsAdvance Laser & Cosmetic

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID AHRENS
Chiropractor
629 CAMINO DE LOS MARES, SUITE 104
SAN CLEMENTE, CA 92673
Orange County (714) 240-1334
SILVIA NICOLAE MD
Anesthesiology
629 CAMINO DE LOS MARES, STE 103
SAN CLEMENTE, CA 92673
Orange County (949) 248-1900
DR. MARK METILDI D.C.
Chiropractor
629 CAMINO DE LOS MARES, SUITE 104
SAN CLEMENTE, CA 92673
Orange County (949) 240-1334
DR. JONATHAN R DRAPER D.M.D
Dentist (General Practice)
629 CAMINO DE LOS MARES, SUITE 102
SAN CLEMENTE, CA 92673
Orange County (949) 248-5555
DR. RUSSELL JOSEPH THOMPSON D.C.
Chiropractor
629 CAMINO DE LOS MARES, SUITE 104
SAN CLEMENTE, CA 92673
Orange County (949) 240-1334
TIMOTHY O ROHAM DO
Emergency Medicine
629 CAMINO DE LOS MARES, SUITE # 103
SAN CLEMENTE, CA 92673
Orange County (949) 248-1900
DR. DAVID AHRENS D.C.
Chiropractor
629 CAMINO DE LOS MARES, SUITE 104
SAN CLEMENTE, CA 92673
Orange County (949) 240-1334
BRIDGETTE COLWELL ATALLAH M.A.
Psychologist (Clinical)
629 CAMINO DE LOS MARES, STE 207A
SAN CLEMENTE, CA 92673
Orange County (949) 228-9080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tim Roham D.O. Inc's NPI number?

The NPI number for Tim Roham D.O. Inc is 1124354592. It was assigned to this organization in the NPPES registry on October 20, 2009. The provider is doing business as Advance Laser & Cosmetic.

Where is Tim Roham D.O. Inc located?

Tim Roham D.O. Inc is located at 629 Camino De Los Mares Suite 103, San Clemente, CA 92673. The listed phone number is (949) 248-1900.

What is Tim Roham D.O. Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Tim Roham D.O. Inc was last updated on October 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.