Provider Demographics
NPI:1285968719
Name:NAJEEULLAH, RAUSHANAH N (NMD)
Entity type:Individual
Prefix:DR
First Name:RAUSHANAH
Middle Name:N
Last Name:NAJEEULLAH
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2035 WESTWOOD BLVD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-6332
Mailing Address - Country:US
Mailing Address - Phone:424-265-1940
Mailing Address - Fax:
Practice Address - Street 1:2035 WESTWOOD BLVD
Practice Address - Street 2:SUITE 209
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-6332
Practice Address - Country:US
Practice Address - Phone:424-265-1940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-30
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND669175F00000X
AZ09-1130175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath