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NPI Code Detail

MEDICARE: MRS. WENDY CHRISTINE ROMO M.A.

MEDICARE: MRS. WENDY CHRISTINE ROMO M.A.
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
1106H00000XMarriage & Family Therapist40486CA

General Provider Information

NPI Number : 1942334024
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. WENDY CHRISTINE ROMO M.A.
Provider Business Mailing Address
First Line : 2116 ARLINGTON AVE
Second Line : 200
City : LOS ANGELES
State : CA
Zip : 90018-1336
Country : US
Telephone Number : 323-737-3900
Fax Number : 323-737-3993
Provider Business Practice Location Address
First Line : 2116 ARLINGTON AVE
Second Line : 200
City : LOS ANGELES
State : CA
Zip : 90018-1336
Country : US
Telephone Number : 323-737-3900
Fax Number : 323-737-3993
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 07/08/2007

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