Provider Demographics
NPI:1588472294
Name:VAFAEIAN, ROJIN
Entity type:Individual
Prefix:
First Name:ROJIN
Middle Name:
Last Name:VAFAEIAN
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 1:2 GOSHEN
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-0959
Mailing Address - Country:US
Mailing Address - Phone:714-858-5645
Mailing Address - Fax:
Practice Address - Street 1:2 GOSHEN
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92602-0959
Practice Address - Country:US
Practice Address - Phone:714-858-5645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program