MEDICARE: MS. MONIQUE MERRITT ROMICK

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	106H00000X	Marriage & Family Therapist	LMFT141084	CA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1457907594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MONIQUE MERRITT ROMICK

Provider Business Mailing Address
First Line	:	PO BOX 1175
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90505-0175
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	806 MANHATTAN BEACH BLVD STE 103
Second Line	:
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90266-4960
Country	:	US
Telephone Number	:	562-270-5041
Fax Number	:

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

Provider Enumeration Date	:	08/14/2019
Last Update Date	:	11/04/2025

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