MEDICARE: MS. FRANCES ELENA ROMERO M.S. PPS MFT INTER

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	IMF100709	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	IMF100709	OTHER	CA	BOARD OF BEHAVIORAL SCIENCES

General Provider Information

NPI Number	:	1790026375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. FRANCES ELENA ROMERO M.S. PPS MFT INTER

Provider Business Mailing Address
First Line	:	22211 FOOTHILL BLVD.
Second Line	:
City	:	HAYWARD
State	:	CA
Zip	:	94541
Country	:	US
Telephone Number	:	510-471-5880
Fax Number	:	510-690-9065

Provider Business Practice Location Address
First Line	:	PO BOX 950
Second Line	:
City	:	RED BLUFF
State	:	CA
Zip	:	96080-0950
Country	:	US
Telephone Number	:	530-529-9454
Fax Number	:	530-529-9456

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

Provider Enumeration Date	:	03/07/2013
Last Update Date	:	06/16/2018

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