Individual
MR. CARLOS YANCEY ROMERO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
10537 MAGNOLIA BLVD, REHAB DEPT, N HOLLYWOOD, CA 91601-4114
(818) 508-9293
(818) 508-9293
Mailing address
12139 MOUNT VERNON AVE, SUITE 110, GRAND TERRACE, CA 92313-5586
(909) 370-3396
(909) 783-4288
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT29686
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OPT296880
—
CA
Enumeration date
09/22/2005
Last updated
07/08/2007
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