Provider Demographics
NPI:1710073697
Name:ROMERO, JUDITH B (MD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:B
Last Name:ROMERO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:24953 PASEO DE VALENCIA BLD B
Mailing Address - Street 2:UNIT 16B
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-7759
Mailing Address - Country:US
Mailing Address - Phone:949-447-2099
Mailing Address - Fax:949-447-2641
Practice Address - Street 1:24953 PASEO DE VALENCIA BLD B
Practice Address - Street 2:UNIT 16B
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-5229
Practice Address - Country:US
Practice Address - Phone:949-447-2099
Practice Address - Fax:494-472-6419
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA73488207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA73488Medicare ID - Type Unspecified
H27985Medicare UPIN