Provider Demographics
NPI:1306986005
Name:MURO, JESUS ROMERO (MD)
Entity type:Individual
Prefix:DR
First Name:JESUS
Middle Name:ROMERO
Last Name:MURO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3831 HUGHES AVE
Mailing Address - Street 2:SUITE # 707
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-2751
Mailing Address - Country:US
Mailing Address - Phone:310-838-7381
Mailing Address - Fax:310-204-5497
Practice Address - Street 1:3831 HUGHES AVE
Practice Address - Street 2:SUITE # 707
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-2751
Practice Address - Country:US
Practice Address - Phone:310-838-7381
Practice Address - Fax:310-204-5497
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2014-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA39175207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A391750Medicaid
CA00A391750Medicaid