Fadavi, Roushanak

Fadavi, Roushanak is an sole proprietor health care provider with primary practice located at 4 Arcata , Mission Viejo CA 92692-5138. She recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as her primary health care specialty. Fadavi, Roushanak can be contacted via phone (201) 725-9285.

Contact Information

Primary practice address
4 Arcata Mission Viejo CA 92692-5138
Phone: (201) 725-9285
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 14103T California

Profile Details

NPI number 1891033825
LBN Legal business name Fadavi, Roushanak
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2013
Last updated Jan 25th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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