Provider Demographics
NPI:1427930817
Name:ALJUBOORI, AYA
Entity type:Individual
Prefix:
First Name:AYA
Middle Name:
Last Name:ALJUBOORI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2809 LA QUINTA DR APT 903
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95826-3481
Mailing Address - Country:US
Mailing Address - Phone:916-804-5792
Mailing Address - Fax:
Practice Address - Street 1:7822 TAMARA DR
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-3429
Practice Address - Country:US
Practice Address - Phone:707-916-8045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility