Provider Demographics
NPI:1174960686
Name:HUBER, REBECCA EILEEN ROMERO (MD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:EILEEN ROMERO
Last Name:HUBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:E
Other - Last Name:ROMERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:823 GATEWAY CENTER WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92102-4541
Mailing Address - Country:US
Mailing Address - Phone:619-515-2365
Mailing Address - Fax:619-269-0598
Practice Address - Street 1:680 FLETCHER PKWY STE 200
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-2500
Practice Address - Country:US
Practice Address - Phone:619-515-2365
Practice Address - Fax:619-269-0598
Is Sole Proprietor?:No
Enumeration Date:2013-05-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1337112084P0800X
CAA1337112084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry