DR. MARY SHIRLEY ROMO M.D. NPI 1861576480

NPI Information

NPI: 1861576480
Provider Name: DR. MARY SHIRLEY ROMO, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
5101 FLORENCE AVE
SUITE 5
BELL, CA
ZIP 90201
Phone: (323) 562-6930
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DR. Mary Shirley Romo, M.D. is a specialist in Bell, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Mary Shirley Romo, M.D. NPI is 1861576480. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5101 FLORENCE AVE
SUITE 5
BELL, CA
ZIP 90201-801
Phone: (323) 562-6930
Fax: (323) 562-6798

The enumeration date for this NPI number is 10/24/2006 and was last updated on 5/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		G64064	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00G640640	MEDICAID	CALIFORNIA
2	G64064	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
3	1739924	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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