Provider Demographics
NPI:1841943404
Name:ROSHNAYE, JAWAID (ND)
Entity type:Individual
Prefix:
First Name:JAWAID
Middle Name:
Last Name:ROSHNAYE
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4002 VIOLET ST
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-7544
Mailing Address - Country:US
Mailing Address - Phone:619-467-6865
Mailing Address - Fax:
Practice Address - Street 1:4420 HOTEL CIRCLE CT STE 235
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3433
Practice Address - Country:US
Practice Address - Phone:619-467-6865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1205175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath