Individual
MRS. DEBORAH V ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1687 ERRINGER RD, SUITE 109, SIMI VALLEY, CA 93065-6508
(805) 584-8054
Mailing address
3124 ANDERSON DR, SIMI VALLEY, CA 93065-1003
(805) 584-8054
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OT3066
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ071672
BLUE SHIELD
CA
Enumeration date
03/05/2009
Last updated
03/05/2009
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