MEDICARE: SHEILA MAE ROMO GABE RDN

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	133V00000X	Registered Dietitian	LRD.2131.RD	SC
2	133V00000X	Registered Dietitian	LD005636	GA
3	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1932781820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA MAE ROMO GABE RDN

Provider Business Mailing Address
First Line	:	11824 1/2 WASHINGTON PL
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-4635
Country	:	US
Telephone Number	:	347-536-6856
Fax Number	:

Provider Business Practice Location Address
First Line	:	11824 1/2 WASHINGTON PL
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-4635
Country	:	US
Telephone Number	:	347-536-6856
Fax Number	:

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

Provider Enumeration Date	:	04/21/2021
Last Update Date	:	08/10/2025

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