Healthcare Provider Details

I. General information

NPI: 1730009945
Provider Name (Legal Business Name): MARIA I RUBIO-ROMERO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 E SLAUSON AVE
HUNTINGTON PARK CA
90255-2725
US

IV. Provider business mailing address

1900 E SLAUSON AVE
HUNTINGTON PARK CA
90255-2725
US

V. Phone/Fax

Practice location:
  • Phone: 323-277-7678
  • Fax:
Mailing address:
  • Phone: 323-277-7676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: