Individual
KENNETH ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
752 MEDICAL CENTER CT, #206, CHULA VISTA, CA 91911-6658
(619) 656-3805
(619) 656-4825
Mailing address
PO BOX 969096, SAN DIEGO, CA 92196-9096
(858) 495-0971
(858) 495-0991
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G66351
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G66351
MEDICAL LICENSE
CA
Enumeration date
06/23/2006
Last updated
07/08/2007
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