Healthcare Provider Details

I. General information

NPI: 1659299907
Provider Name (Legal Business Name): ADRIAN ELIAS ROMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10230 ARTESIA BLVD STE 310
BELLFLOWER CA
90706-6769
US

IV. Provider business mailing address

10230 ARTESIA BLVD STE 310
BELLFLOWER CA
90706-6769
US

V. Phone/Fax

Practice location:
  • Phone: 562-356-9692
  • Fax:
Mailing address:
  • Phone: 562-356-9692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: