Provider Demographics
NPI:1104147172
Name:ROC, GILBERT CALUAG JR (MD)
Entity type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:CALUAG
Last Name:ROC
Suffix:JR
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:24331 EL TORO RD
Mailing Address - Street 2:STE 200
Mailing Address - City:LAGUNA WOODS
Mailing Address - State:CA
Mailing Address - Zip Code:92637-2752
Mailing Address - Country:US
Mailing Address - Phone:949-586-3200
Mailing Address - Fax:949-900-2136
Practice Address - Street 1:24331 EL TORO RD
Practice Address - Street 2:SUITE 200
Practice Address - City:LAGUNA WOODS
Practice Address - State:CA
Practice Address - Zip Code:92637-2752
Practice Address - Country:US
Practice Address - Phone:949-586-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-14
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA143571207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB258349OtherMEDICARE PTAN