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Organization
MARY S. ROMO MD, INC.
Active
Organization
MARY S. ROMO MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY SHIRLEY ROMO MD (OB/GYN DOCTOR)
(323) 562-6930
Entity
Organization
Contact information
Practice address
5101 FLORENCE AVE, SUITE # 5, BELL, CA 90201-3801
(323) 562-6930
(323) 562-6798
Mailing address
PO BOX 2279, HUNTINGTON PARK, CA 90255-1579
(323) 562-6930
(323) 562-6798
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G64064
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G640640
—
CA
01
—
G64064
MEDICARE ID - TYPE UNSPECIFIED
CA
Enumeration date
08/05/2010
Last updated
08/05/2010
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