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NPI Code Detail

MEDICARE: DR. ROMMIL L FERNANDEZ D.C.

MEDICARE: DR. ROMMIL L FERNANDEZ D.C.
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
1111N00000XChiropractorDC 29479CA

General Provider Information

NPI Number : 1316934797
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROMMIL L FERNANDEZ D.C.
Provider Business Mailing Address
First Line : 1220 W OLIVE AVE
Second Line :
City : BURBANK
State : CA
Zip : 91506-2216
Country : US
Telephone Number : 818-848-2225
Fax Number : 818-848-2227
Provider Business Practice Location Address
First Line : 1220 W OLIVE AVE
Second Line :
City : BURBANK
State : CA
Zip : 91506-2216
Country : US
Telephone Number : 818-848-2225
Fax Number : 818-848-2227
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2005
Last Update Date : 09/20/2023

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