| Jean Franco Romualdez, | |
|
13611 Fairmont Way, Tustin, CA 92780-1810 | |
| (408) 531-5298 | |
| Not Available |
| Full Name | Jean Franco Romualdez |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 13611 Fairmont Way, Tustin, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114394012 | NPI | - | NPPES |
| 100946 | Other | CA | CALIFORNIA BOARD OF BEHAVIORAL SCIENCES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 134933 (California) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Jean Franco Romualdez, 13611 Fairmont Way, Tustin, CA 92780-1810 Ph: (408) 531-5298 | Jean Franco Romualdez, 13611 Fairmont Way, Tustin, CA 92780-1810 Ph: (408) 531-5298 |
Jason William Austin, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17542 Irvine Blvd, #f, Tustin, CA 92780 Phone: 714-508-1919 | |
Bryan Patrick Hartzell, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 250 El Camino Real Ste 213, Tustin, CA 92780 Phone: 714-805-6510 | |
Mr. Lyle R Rapp, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 14771 Plaza Dr, Ste L, Tustin, CA 92780 Phone: 714-639-4223 Fax: 714-848-5804 | |
Judith Benvenuto, LMFT Couples Therapy Medicare: May Accept Medicare Assignments Practice Location: 250 El Camino Real Ste 213, Tustin, CA 92780 Phone: 714-393-1891 Fax: 714-805-6519 | |
Xi Chen, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3002 Dow Ave Ste 122, Tustin, CA 92780 Phone: 949-328-7688 Fax: 949-328-7689 | |
Victoria Dominguez Ashimine, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17332 Irvine Blvd, Suite 232, Tustin, CA 92780 Phone: 714-457-4326 | |
Lisa K Page, Couples Therapy Medicare: Medicare Enrolled Practice Location: 2041 Seminole, Tustin, CA 92782 Phone: 714-307-4371 |