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NPI Code Detail

MEDICARE: DAVID ROMO

MEDICARE: DAVID ROMO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1154812485
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID ROMO
Provider Business Mailing Address
First Line : 6145 IMPERIAL AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92114-4213
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6145 IMPERIAL AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92114-4213
Country : US
Telephone Number : 619-839-0939
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2018
Last Update Date : 05/22/2018

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Directions to “ DAVID ROMO ” Practice Location

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