Provider Demographics
NPI:1336292101
Name:DIMAANO, ROMEO ECLAVEA (DC)
Entity Type:Individual
Prefix:DR
First Name:ROMEO
Middle Name:ECLAVEA
Last Name:DIMAANO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2440 LAS POSAS RD
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-3458
Mailing Address - Country:US
Mailing Address - Phone:805-384-0101
Mailing Address - Fax:805-384-0220
Practice Address - Street 1:2440 LAS POSAS RD
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-3458
Practice Address - Country:US
Practice Address - Phone:805-384-0101
Practice Address - Fax:805-384-0220
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30203111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor