Healthcare Provider Details

I. General information

NPI: 1508057068
Provider Name (Legal Business Name): MONICA MAYORAL-ROMERO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2007
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4550 ONTARIO MILLS PKWY
ONTARIO CA
91764-5148
US

IV. Provider business mailing address

8419 HUNTER DR
RANCHO CUCAMONGA CA
91701-3929
US

V. Phone/Fax

Practice location:
  • Phone: 909-984-6800
  • Fax:
Mailing address:
  • Phone: 626-215-3123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number220060865
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: