Healthcare Provider Details

I. General information

NPI: 1821742230
Provider Name (Legal Business Name): RAZAN AAMA ALAWADHI MBA, MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: N/A N/A ABDULLRAZAQ ALAWADHI

II. Dates (important events)

Enumeration Date: 02/05/2022
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11001 MAIN ST STE 311
EL MONTE CA
91731-2620
US

IV. Provider business mailing address

6255 W SUNSET BLVD FL 21
LOS ANGELES CA
90028-7422
US

V. Phone/Fax

Practice location:
  • Phone: 626-444-9453
  • Fax: 626-444-9256
Mailing address:
  • Phone: 238-605-2003
  • Fax: 323-467-7119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number348997
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61646352
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95031697
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: