Provider Demographics
NPI:1619019734
Name:ROEMER-BROWN, ROBIN R (LAC DIPLAC)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:R
Last Name:ROEMER-BROWN
Suffix:
Gender:F
Credentials:LAC DIPLAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6122 BELGRAVE AVE
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92845-1812
Mailing Address - Country:US
Mailing Address - Phone:714-235-5646
Mailing Address - Fax:714-799-5557
Practice Address - Street 1:6122 BELGRAVE AVE
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92845-1812
Practice Address - Country:US
Practice Address - Phone:714-235-5646
Practice Address - Fax:714-799-5557
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6137171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist