Healthcare Provider Details

I. General information

NPI: 1942396940
Provider Name (Legal Business Name): CHRISTOPHER ROMIG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 11/19/2021
Certification Date: 11/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27401 LOS ALTOS STE 180
MISSION VIEJO CA
92691-8012
US

IV. Provider business mailing address

26522 LA ALAMEDA SUITE 370
MISSION VIEJO CA
92691-6330
US

V. Phone/Fax

Practice location:
  • Phone: 949-364-1400
  • Fax:
Mailing address:
  • Phone: 949-600-7864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD0067474
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA96968
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: