Healthcare Provider Details

I. General information

NPI: 1194666255
Provider Name (Legal Business Name): AARON XAVIER ROMERO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26732 CYPRESS ST
HIGHLAND CA
92346-3538
US

IV. Provider business mailing address

26732 CYPRESS ST
HIGHLAND CA
92346-3538
US

V. Phone/Fax

Practice location:
  • Phone: 909-649-5839
  • Fax:
Mailing address:
  • Phone: 909-649-5839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number753878
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: