Provider Demographics
NPI:1184254799
Name:HIM, ROM
Entity type:Individual
Prefix:
First Name:ROM
Middle Name:
Last Name:HIM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 E PLYMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-6224
Mailing Address - Country:US
Mailing Address - Phone:562-235-1183
Mailing Address - Fax:
Practice Address - Street 1:1601 E PLYMOUTH ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-6224
Practice Address - Country:US
Practice Address - Phone:562-235-1183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-23
Last Update Date:2025-07-22
Deactivation Date:2024-04-24
Deactivation Code:
Reactivation Date:2025-07-22
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter