Provider Demographics
NPI:1134578842
Name:RITA ROMERO, PSYCHOLOGIST A PC
Entity type:Organization
Organization Name:RITA ROMERO, PSYCHOLOGIST A PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RITA
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:760-846-0361
Mailing Address - Street 1:3784 MISSION AVE STE 148
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92058-1460
Mailing Address - Country:US
Mailing Address - Phone:760-846-0361
Mailing Address - Fax:858-521-9344
Practice Address - Street 1:334 HOLIDAY WAY
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92057-4260
Practice Address - Country:US
Practice Address - Phone:760-846-0361
Practice Address - Fax:858-521-9344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-03
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14190103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty