Provider Demographics
NPI:1932526456
Name:ROMA MARKETING
Entity type:Organization
Organization Name:ROMA MARKETING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HABIBULLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHALIKAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-464-1500
Mailing Address - Street 1:4651 HOLT BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-4730
Mailing Address - Country:US
Mailing Address - Phone:909-464-1500
Mailing Address - Fax:
Practice Address - Street 1:4651 HOLT BLVD STE D
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-4730
Practice Address - Country:US
Practice Address - Phone:909-464-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROMA MARKETING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-21
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7274750001Medicare NSC