Provider Demographics
NPI:1598522849
Name:ROMERO, RICHARD ALEXANDER
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:ALEXANDER
Last Name:ROMERO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 SIERRA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-2767
Mailing Address - Country:US
Mailing Address - Phone:562-501-8829
Mailing Address - Fax:
Practice Address - Street 1:1021 SIERRA VISTA DR
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-2767
Practice Address - Country:US
Practice Address - Phone:562-501-8829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program