Provider Demographics
NPI:1134658099
Name:ROMERO-SANCHEZ, MIGUEL (DAT, AT)
Entity Type:Individual
Prefix:DR
First Name:MIGUEL
Middle Name:
Last Name:ROMERO-SANCHEZ
Suffix:
Gender:M
Credentials:DAT, AT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8110 SHIRLEY AVE
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-1028
Mailing Address - Country:US
Mailing Address - Phone:818-674-3868
Mailing Address - Fax:
Practice Address - Street 1:23620 MULHOLLAND HWY
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-2060
Practice Address - Country:US
Practice Address - Phone:818-591-6413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-05
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer