Provider Demographics
NPI:1760580724
Name:ROMANO, CLAUDIA (DDS)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:ROMANO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1537 LOMITA BLVD
Mailing Address - Street 2:
Mailing Address - City:HARBOR CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90710-2024
Mailing Address - Country:US
Mailing Address - Phone:310-530-5252
Mailing Address - Fax:310-530-6922
Practice Address - Street 1:1537 LOMITA BLVD
Practice Address - Street 2:
Practice Address - City:HARBOR CITY
Practice Address - State:CA
Practice Address - Zip Code:90710-2024
Practice Address - Country:US
Practice Address - Phone:310-530-5252
Practice Address - Fax:310-530-6922
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA419901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG92177-01OtherMEDI-CAL I.D. #