MEDICARE: MR. PAUL ROMAYOR

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
1	224Z00000X	Occupational Therapy Assistant	1218	CA

General Provider Information

NPI Number	:	1437370442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PAUL ROMAYOR

Provider Business Mailing Address
First Line	:	192 SOUTHWIND DR
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-4708
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7510 CLAIREMONT MESA BLVD. SUITE 103
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-1539
Country	:	US
Telephone Number	:	858-277-2277
Fax Number	:	858-277-7358

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	07/08/2007

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Directions to “ MR. PAUL ROMAYOR ” Practice Location

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