Rome Jutabha MD Prof Corp

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

G68613 Issued in CA

Legal business name

ROME JUTABHA MD PROF CORP

Practice address

100 UCLA Medical Plaza
Suite 310
Los Angeles, CA 90095-0001

Phone

(310) 825-5037

Fax

(310) 206-0495

NPI assigned

Jan 7, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Arlaena L Beane

Title

Collections Manager

Phone

(310) 825-5037

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1073798286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLAZA",
            "address_2": "SUITE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-825-5037",
            "fax_number": "310-206-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLAZA",
            "address_2": "SUITE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-825-5037",
            "fax_number": "310-206-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROME JUTABHA MD PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "BEANE",
        "authorized_official_first_name": "ARLAENA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COLLECTIONS MANAGER",
        "authorized_official_telephone_number": "310-825-5037",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G68613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristian T Romanof, DPT
• Richard Romanoff, PH.D.
• Maria Romanova
• Brittany Romans
• Matthew Romanyshyn
• Angelic Rome, LCSW
• Romeo E. Velasco, M.D., Inc.
• Dan Romeo-White, LMFT
• Olimar Romero Castillo
• Adan de Jesus Romero Lopez, MD

• Medical Specialty Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.