Roman Vale Bravo Jr.
Community Health Worker in Rialto, CA. Individual provider (NPI-1).
NPI number1780414151
StatusActive
Last updated in NPPESMar 24, 2025
Details
- NPI
- 1780414151
- Entity type
- Individual (NPI-1)
- Name
- Mr. Roman Vale Bravo Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2024
- Certification date
- Mar 24, 2025
- Last updated
- Mar 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 175T00000X | Peer Specialist | – | – | |
| 175T00000X | Peer Specialist | – | CA |
Practice location
850 E Foothill BlvdRialto, CA 92376-5230
Phone 442-268-8723
Mailing address
18818 Us Highway 18Apple Valley, CA 92307-2323
Phone 760-946-2070
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All 51 Community Health Worker providers in Rialto · All 1,367 providers in Rialto
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