Individual
LYNDA D ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 FAIRMOUNT AVE, STE 220, PASADENA, CA 91105-3154
(562) 568-1622
(562) 568-1224
Mailing address
1640 MARENGO ST, STE 505, LOS ANGELES, CA 90033-1038
(626) 568-1622
(323) 225-6284
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
G72001
CA
207VX0201X
Gynecologic Oncology Physician
Primary
G72001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G720010
—
CA
Enumeration date
06/13/2005
Last updated
11/26/2013
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