Provider Demographics
NPI:1851623292
Name:ROMERO, RON RICHARD (DC)
Entity Type:Individual
Prefix:DR
First Name:RON
Middle Name:RICHARD
Last Name:ROMERO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2147 NEWCASTLE AVE
Mailing Address - Street 2:
Mailing Address - City:CARDIFF
Mailing Address - State:CA
Mailing Address - Zip Code:92007-1824
Mailing Address - Country:US
Mailing Address - Phone:760-942-2733
Mailing Address - Fax:760-942-2733
Practice Address - Street 1:2147 NEWCASTLE AVE
Practice Address - Street 2:
Practice Address - City:CARDIFF
Practice Address - State:CA
Practice Address - Zip Code:92007-1824
Practice Address - Country:US
Practice Address - Phone:760-942-2733
Practice Address - Fax:760-942-2733
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12263111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor