# VASILE F ROMAN M D INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629147046
- **Authorized official:** DR. VASILE F ROMAN M.D. (OWNER)
- **Authorized official phone:** (323) 660-7024

## Contact information

- **Practice address:** 866 N VERMONT AVE, 4, LOS ANGELES, CA 90029-3587
- **Practice address phone:** (323) 660-7024
- **Practice address fax:** (323) 660-7027
- **Mailing address:** 866 N VERMONT AVE, 4, LOS ANGELES, CA 90029-3587
- **Mailing address phone:** (323) 660-7024
- **Mailing address fax:** (323) 660-7027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A42978 | CA | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A42978 | CERTIFICATE NUMBER | CA |