Provider Demographics
NPI:1689831638
Name:RAUL ROMEA, M.D., INC.
Entity Type:Organization
Organization Name:RAUL ROMEA, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMEA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-682-1800
Mailing Address - Street 1:9300 W STOCKTON BLVD
Mailing Address - Street 2:112
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-8070
Mailing Address - Country:US
Mailing Address - Phone:916-682-1800
Mailing Address - Fax:916-682-8801
Practice Address - Street 1:9300 W STOCKTON BLVD
Practice Address - Street 2:112
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-8070
Practice Address - Country:US
Practice Address - Phone:916-682-1800
Practice Address - Fax:916-682-8801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC53197207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty