Marylou Romo-Gritzewsky
Organization Active NPI Internal Medicine Physician · Freedom, CA
NPI 1689778607 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1689778607
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A76531 (CA)
- Legal business name
- MARYLOU ROMO-GRITZEWSKY
- Practice address
- 268 Green Valley Rd
Freedom, CA 95019-3139 - Phone
- (831) 728-0440
- Fax
- (831) 728-4293
- NPI assigned
- Sep 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Marylou Romo-Gritzewsky, MD
- Title
- Physician
- Phone
- (831) 728-0440
Practitioners 1
-
Marylou Romo-Gritzewsky, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0925390 | Marylou Romo-Gritzewsky | Certificate of waiver | Feb 24, 2027 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | A76531 | CA | Yes |
Addresses
Primary practice location
268 Green Valley Rd
Freedom, CA 95019-3139
Mailing address
268 Green Valley Rd
Freedom, CA 95019-3139
Phone (831) 728-0440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790795730 | Other | CA | NPI DR. ROMO |
Other providers in Freedom, CA
- Stuart J Macdonell
- Jeffrey G Mace
- Marc L Grossman DDS James B Smith DDS Apc
- Margaret Khouri, M.D., P.C.
- Maria Sembrano Granthom, M.D. Inc.
- Bradford David Matiasevich
- Miguel Vasquez MD Ann Carroll MD a Prof Corp
- Mojdeh Faraz DDS Inc
- Angela Molina
- Monterey Bay Imaging Center
All providers in Freedom, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.