Healthcare Provider Details

I. General information

NPI: 1215257282
Provider Name (Legal Business Name): ROYA RAJABI PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2010
Last Update Date: 06/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6150 VAN BUREN BLVD
RIVERSIDE CA
92503-8014
US

IV. Provider business mailing address

5260 LA FIESTA
YORBA LINDA CA
92887-4008
US

V. Phone/Fax

Practice location:
  • Phone: 951-688-5352
  • Fax:
Mailing address:
  • Phone: 714-342-3291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number45781
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: