MEDICARE: RAUL ROMEA, M.D., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	C53197	CA

General Provider Information

NPI Number	:	1689831638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAUL ROMEA, M.D., INC.

Provider Business Mailing Address
First Line	:	9300 W STOCKTON BLVD
Second Line	:	112
City	:	ELK GROVE
State	:	CA
Zip	:	95758-8070
Country	:	US
Telephone Number	:	916-682-1800
Fax Number	:	916-682-8801

Provider Business Practice Location Address
First Line	:	9300 W STOCKTON BLVD
Second Line	:	112
City	:	ELK GROVE
State	:	CA
Zip	:	95758-8070
Country	:	US
Telephone Number	:	916-682-1800
Fax Number	:	916-682-8801

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RAUL ROMEA
Credential	:	MD
Telephone Number	:	916-682-1800

Provider Enumeration Date	:	05/19/2008
Last Update Date	:	05/09/2018

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