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General NPI Number Information
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NPI Number | 1831249572
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Entity Type | Individual
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Provider Name | CARMEN ROMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 611 VETERANS BLVD STE 217
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City | REDWOOD CITY
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State | CA
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Zip | 94063-1401
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Country | US
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Telephone | 650-465-3129
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Fax | 650-260-2953
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Provider Business Mailing Address
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Address Line | 3026 CADENCIA ST
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City | CARLSBAD
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State | CA
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Zip | 92009-8307
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Country | US
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Telephone | 760-317-8494
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | A35997
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A35997
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License Number State | CA
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