Healthcare Provider Details

I. General information

NPI: 1396559548
Provider Name (Legal Business Name): ROMMEL ISORENA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2025
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7906 S 32ND ST
BELLEVUE NE
68147-1977
US

IV. Provider business mailing address

7906 S 32ND ST
BELLEVUE NE
68147-1977
US

V. Phone/Fax

Practice location:
  • Phone: 714-381-5072
  • Fax:
Mailing address:
  • Phone: 714-381-5072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: