Organization
ROOTED BY NATURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA T FARUQ (OWNER)
(951) 867-1198
Entity
Organization
Contact information
Practice address
10351 SANTA MONICA BLVD, UNIT 100 STUDIO 19, LOS ANGELES, CA 90025-9288
(951) 867-1198
Mailing address
1809 BAYWOOD DR APT 202, CORONA, CA 92881-3350
(951) 867-1198
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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