Healthcare Provider Details

I. General information

NPI: 1427910801
Provider Name (Legal Business Name): MRS. ROMINA PAPA-PERALTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12912 BROOKHURST ST STE 410
GARDEN GROVE CA
92840-4871
US

IV. Provider business mailing address

12912 BROOKHURST ST STE 410
GARDEN GROVE CA
92840-4871
US

V. Phone/Fax

Practice location:
  • Phone: 714-636-9095
  • Fax: 714-636-8828
Mailing address:
  • Phone: 714-639-9095
  • Fax: 714-636-8828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: