Provider Demographics
NPI:1336564335
Name:NATALIA ROMANA M.A., M.F.T.
Entity Type:Organization
Organization Name:NATALIA ROMANA M.A., M.F.T.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-585-5373
Mailing Address - Street 1:5114 ALDER
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-2301
Mailing Address - Country:US
Mailing Address - Phone:714-585-5373
Mailing Address - Fax:
Practice Address - Street 1:5114 ALDER
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-2301
Practice Address - Country:US
Practice Address - Phone:714-585-5373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33777106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMFT337770OtherBLUE SHIELD OF CALIFORNIA (PIN)