Healthcare Provider Details

I. General information

NPI: 1689515769
Provider Name (Legal Business Name): JENNIFER ROMULO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

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

5200 VIA DE LA ESCUELA
YORBA LINDA CA
92887-2556
US

IV. Provider business mailing address

1301 E ORANGETHORPE AVE
PLACENTIA CA
92870-5302
US

V. Phone/Fax

Practice location:
  • Phone: 714-986-7460
  • Fax:
Mailing address:
  • Phone: 714-986-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: