Ricardo Roman


Address: 4708 Eagle Rock Blvd, Eagle Rock, CA 90041-2712

Ricardo Roman (NPI# 1144327032, PAC ID# 7719927045) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1144327032
PAC ID by PECOS 7719927045
Professional Enrollment ID I20050505001173
Full Name Ricardo Roman
Address 4708 Eagle Rock Blvd
Eagle Rock
CA 90041-2712
Gender M
Credential MD
Medical School HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 2000
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050239 GLENDALE ADVENTIST MEDICAL CENTER

Other Locations

Address Phone Organization
4708 Eagle Rock Blvd, Eagle Rock, CA 90041-2712

Organization Information

Office Location

Street Address 4708 EAGLE ROCK BLVD
City EAGLE ROCK
State CA
Zip 90041-2712

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Competitor

Search similar physicians

City EAGLE ROCK
Zip Code 90041
Specialty INTERNAL MEDICINE
City + Specialty EAGLE ROCK + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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