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NPI Code Detail

MEDICARE: HECTOR ANTONIO ROMERO

MEDICARE: HECTOR ANTONIO ROMERO
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 : 1417236944
Entity Type Code : Individual
Provider Name (Legal Business Name) : HECTOR ANTONIO ROMERO
Provider Business Mailing Address
First Line : 7038 OWENSMOUTH AVE
Second Line :
City : CANOGA PARK
State : CA
Zip : 91303-3198
Country : US
Telephone Number : 818-347-8565
Fax Number :
Provider Business Practice Location Address
First Line : 7038 OWENSMOUTH AVE
Second Line :
City : CANOGA PARK
State : CA
Zip : 91303-3198
Country : US
Telephone Number : 818-347-8565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2011
Last Update Date : 05/03/2017

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Directions to “ HECTOR ANTONIO ROMERO ” Practice Location

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