NPI 1023449758

Jonathan Roman

Practitioner Rehabilitation Practitioner West Covina, CA

Practice location

Address: 1517 W Garvey Ave N, West Covina, CA 91790-2138
Phone: (626) 962-6061
Mailing address: 3734 Peck Rd APT 3, El Monte, CA 91731-3501

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Registry record

NPI: 1023449758
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Dec 2013
Record last updated: 5 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.