1558540146 NPI number — MRS. JEAN DELGADO ROMUALDO-FERNANDEZ RPH

Table of content: MRS. JEAN DELGADO ROMUALDO-FERNANDEZ RPH (NPI 1558540146)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558540146 NPI number — MRS. JEAN DELGADO ROMUALDO-FERNANDEZ RPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROMUALDO-FERNANDEZ
Provider First Name:
JEAN
Provider Middle Name:
DELGADO
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RPH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FERNANDEZ
Provider Other First Name:
JEAN
Provider Other Middle Name:
DELGADO
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
RPH
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1558540146
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/30/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3400 E SOUTH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAKEWOOD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90805-4511
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
562-529-3298
Provider Business Mailing Address Fax Number:
562-529-6282

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3400 E SOUTH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAKEWOOD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90805-4511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-529-3298
Provider Business Practice Location Address Fax Number:
562-529-6282
Provider Enumeration Date:
10/30/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  RPH44624 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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