Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | G082297 | CA |
NPI | 1013999499 |
---|---|
Provider Name | Dr. Matthew Lee Romans |
First Address | Salinas, CA 93902-0417 |
Second Address | Salinas, CA 93901-2292 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2005 |
Last Update Date | 28/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G822970 | (05) | CA |
F71172 | (02) | CA |