# ROOTED BY NATURE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013658228
- **Authorized official:** JOHANNA T FARUQ (OWNER)
- **Authorized official phone:** (951) 867-1198

## Contact information

- **Practice address:** 10351 SANTA MONICA BLVD, UNIT 100 STUDIO 19, LOS ANGELES, CA 90025-9288
- **Practice address phone:** (951) 867-1198
- **Mailing address:** 1809 BAYWOOD DR APT 202, CORONA, CA 92881-3350
- **Mailing address phone:** (951) 867-1198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 04/05/2022
- **Last updated:** 04/05/2022