EDWARD G. ROHALY,M.D. INC. (NPI# 1700188174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700188174 |
| Entity Type | Organization |
| Organization Name | EDWARD G. ROHALY,M.D. INC. |
| Practice Address |
360 San Miguel Dr Suite 309 Newport Beach CA 92660-7829 |
| Practice Telephone | 9496400434 |
| Practice Fax Number | 9496400277 |
| Mailing Telephone | 9496400434 |
| Mailing Fax Number | 9496400277 |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |
| Authorized Official Name | DR. EDWARD GEORGE ROHALY (PRESIDENT) |
| Authorized Official Telephone | 9496400434 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | G62009 | CA | Ambulatory Health Care Facilities |
| Street Address |
360 SAN MIGUEL DR SUITE 309 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-7829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093311 | Cory Lynne Brame | Ophthalmology | 360 San Miguel Dr, Ste 307, Newport Beach, CA 92660-7829 | 2005-06-20 |
| 1740674415 | Ewelina Szymanowicz | Nurse Practitioner | 360 San Miguel Dr, Suite 309, Newport Beach, CA 92660-7853 | 2015-03-20 |
| 1215341730 | Matthew James Belmont | Physician Assistant | 360 San Miguel Dr, Suite 107, Newport Beach, CA 92660-7853 | 2014-06-12 |
| 1336575257 | Sheets, Paquette & Wu Dental Practice | Clinic/Center | 360 San Miguel Dr, Suite 204, Newport Beach, CA 92660-7853 | 2013-09-24 |
| 1528301710 | Scott K. Forman M.d. Professional Corporation | Orthopaedic Surgery | 360 San Miguel Dr, #701, Newport Beach, CA 92660-7853 | 2013-04-05 |
| 1932444395 | Jennifer June Rhoton | Nurse Practitioner | 360 San Miguel Dr, Suite 107, Newport Beach, CA 92660-7853 | 2012-12-11 |
| 1568717122 | Jean Chin Wu | Dentist | 360 San Miguel Dr, #204, Newport Beach, CA 92660 | 2012-07-19 |
| 1326334202 | Riviera Medical Corporation | Non-Pharmacy Dispensing Site | 360 San Miguel Dr, Suite 107, Newport Beach, CA 92660-7853 | 2011-06-20 |
| 1093024739 | Chalinee Jill Intarachote | Physical Medicine & Rehabilitation | 360 San Miguel Dr, 301, Newport Beach, CA 92660-7853 | 2010-09-29 |
| 1417265562 | Heather Ryan | Physician Assistant | 360 San Miguel Dr, Suite 701, Newport Beach, CA 92660-7853 | 2010-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
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| 1992948731 | Sungil Manual Medicine and Acupuncture Inc | Clinic/Center | 20391 Bayview Ave, Newport Beach, CA 92660-0709 | 2009-04-09 |
| 1386802627 | Judy Tamar Gillard | Clinic/Center | 2515 Eastbluff Dr, Newport Beach, CA 92660-3504 | 2008-05-22 |
| 1912101015 | Julie Ralls, M.d., Inc. | Clinic/Center | 2011 Westcliff Dr Ste 4, Newport Beach, CA 92660-5508 | 2007-06-13 |
| 1922015072 | Harbor Pediatric Medical Group | Clinic/Center | 601 Dover Dr Ste 7, Newport Beach, CA 92663-5721 | 2006-08-02 |
| 1548819071 | Care Connectors Affiliated Physicians Inc | Clinic/Center | 520 Superior Ave, Suite 250, Newport Beach, CA 92663 | 2019-09-07 |
| 1518526607 | The Child and Family Connection | Clinic/Center | 1401 Avocado Ave Ste 709, Newport Beach, CA 92660-8714 | 2019-06-12 |
| 1760922413 | Bettina Limjoco Mdpc | Clinic/Center | 20072 Sw Birch St, Suite 170, Newport Beach, CA 92660-0794 | 2017-02-28 |
| 1366831174 | Pacific Center for Plastic Surgery | Clinic/Center | 3991 Macarthur Blvd, Suite 320, Newport Beach, CA 92660-3009 | 2015-01-16 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.