Healthcare Provider Details

I. General information

NPI: 1134081235
Provider Name (Legal Business Name): SAIRAH JANJUA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9890 COUNTY FARM RD
RIVERSIDE CA
92503-3678
US

IV. Provider business mailing address

31537 CANYON VIEW DR
LAKE ELSINORE CA
92532-0308
US

V. Phone/Fax

Practice location:
  • Phone: 951-486-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95310869
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: