MEDICARE: HEALTHCARE IN MOTION

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	293D00000X	Physiological Laboratory

General Provider Information

NPI Number	:	1831685122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE IN MOTION

Provider Business Mailing Address
First Line	:	9590 CHESAPEAKE DR STE 2
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1348
Country	:	US
Telephone Number	:	561-626-9021
Fax Number	:

Provider Business Practice Location Address
First Line	:	9590 CHESAPEAKE DR STE 2
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1348
Country	:	US
Telephone Number	:	561-626-9021
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	PAUL FRANCISCO ROMERO
Credential	:
Telephone Number	:	619-517-8205

Provider Enumeration Date	:	07/10/2018
Last Update Date	:	07/10/2018

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Directions to “HEALTHCARE IN MOTION ” Practice Location

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