Healthcare Provider Details

I. General information

NPI: 1992619076
Provider Name (Legal Business Name): MS. WENDY PAOLA ROMERO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 S D ST
PERRIS CA
92570-2126
US

IV. Provider business mailing address

3023 AVISHAN DR
PERRIS CA
92571-6916
US

V. Phone/Fax

Practice location:
  • Phone: 951-575-0294
  • Fax:
Mailing address:
  • Phone: 951-580-8466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: