Provider Demographics
NPI:1962874636
Name:BAYAA, ROYA (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:ROYA
Middle Name:
Last Name:BAYAA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ROYA
Other - Middle Name:
Other - Last Name:JAMSHEED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2633 LINCOLN BLVD
Mailing Address - Street 2:SUITE 156
Mailing Address - City:SANTA MONCIA
Mailing Address - State:CA
Mailing Address - Zip Code:90405
Mailing Address - Country:US
Mailing Address - Phone:949-338-8460
Mailing Address - Fax:818-994-4836
Practice Address - Street 1:1411 LINCOLN BLVD
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401
Practice Address - Country:US
Practice Address - Phone:310-319-1318
Practice Address - Fax:310-319-1329
Is Sole Proprietor?:No
Enumeration Date:2015-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA66345183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist