Provider Demographics
NPI:1093595266
Name:ROJA NUTRITIONIST LLC
Entity type:Organization
Organization Name:ROJA NUTRITIONIST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL NUTRITIONIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROJA
Authorized Official - Middle Name:
Authorized Official - Last Name:BABAEI
Authorized Official - Suffix:
Authorized Official - Credentials:CNS, CN
Authorized Official - Phone:301-755-4382
Mailing Address - Street 1:300 LENORA ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-2411
Mailing Address - Country:US
Mailing Address - Phone:301-755-4382
Mailing Address - Fax:
Practice Address - Street 1:16855 RALPHS RANCH ROAD
Practice Address - Street 2:APT 308
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127
Practice Address - Country:US
Practice Address - Phone:301-755-4382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-04
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty