Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 265643 | NY |
Y | 208000000X | Pediatrician | A137934 | CA |
NPI | 1003171604 |
---|---|
Provider Name | Dr. Cristina Carolina Romero De Montero |
First Address | San Juan Capistrano, CA 92675-1304 |
Second Address | San Juan Capistrano, CA 92675-1304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2012 |
Last Update Date | 30/01/2017 |