Healthcare Provider Details

I. General information

NPI: 1740079227
Provider Name (Legal Business Name): ROSHAWNA RASHADA
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2025
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2031 W MANCHESTER AVE APT 12
LOS ANGELES CA
90047-2927
US

IV. Provider business mailing address

2031 W MANCHESTER AVE APT 12
LOS ANGELES CA
90047-2927
US

V. Phone/Fax

Practice location:
  • Phone: 562-666-0280
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: