Alizadeh-Azardoust, Roxanna-Elitisia

Alizadeh-Azardoust, Roxanna-Elitisia is an individual health care provider with primary practice located at 160 E Virginia St Ste 100 , San Jose CA 95112-5865. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Providers / Licensed Vocational Nurse. Nursing Service Providers / Licensed Vocational Nurse is her primary health care specialty. Alizadeh-Azardoust, Roxanna-Elitisia can be contacted via phone (408) 938-2113.

Contact Information

Primary practice address
160 E Virginia St Ste 100 San Jose CA 95112-5865
Phone: (408) 938-2113
Fax: (408) 579-6143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 718329 California

Profile Details

NPI number 1104420736
LBN Legal business name Alizadeh-Azardoust, Roxanna-Elitisia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2020
Last updated Apr 5th, 2023 - about 3 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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