MEDICARE: DR. ROMEO JOSEPH PETTINELLI DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	E2873	CA

General Provider Information

NPI Number	:	1740369792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROMEO JOSEPH PETTINELLI DPM

Provider Business Mailing Address
First Line	:	12660 RIVERSIDE DR STE 305
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91607-3431
Country	:	US
Telephone Number	:	818-623-4455
Fax Number	:	818-985-0055

Provider Business Practice Location Address
First Line	:	12660 RIVERSIDE DR STE 305
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91607-3431
Country	:	US
Telephone Number	:	818-623-4455
Fax Number	:	818-985-0055

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1225005648 — DR. FRANCISCO N FLORES M.D.
Practice Location Address:

12660 RIVERSIDE DR , STE 300
STUDIO CITY, CA
91607-3431

Practice Phone: 818-623-5310
Practice Fax:

1023146206 — DR. FOEAD GEULA M.D.
Practice Location Address:

12660 RIVERSIDE DR STE 300
STUDIO CITY, CA
91607-3431

Practice Phone: 818-623-5310
Practice Fax:

1770122889 — RAMTIN COHANIM. MD, INC
Practice Location Address:

12660 RIVERSIDE DR STE 300
STUDIO CITY, CA
91607-3431

Practice Phone: 818-623-5310
Practice Fax:

1104567338 — CRYSTAL BUSTOS
Practice Location Address:

12660 RIVERSIDE DR STE 305
STUDIO CITY, CA
91607-3431

Practice Phone: 747-254-1154
Practice Fax:

1194421982 — MARIO ANONIO MARLOW
Practice Location Address:

12660 RIVERSIDE DR STE 305
STUDIO CITY, CA
91607-3431

Practice Phone: 818-614-3365
Practice Fax:

1578543831 — DR. ROBERT JOHN MATYAS II D.O.
Practice Location Address:

4450 AGNES AVE
STUDIO CITY, CA
91607-4103

Practice Phone: 808-388-1345
Practice Fax:

Directions to “ DR. ROMEO JOSEPH PETTINELLI DPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.