Provider Demographics
NPI:1770860546
Name:JAUHARI, RICHA
Entity Type:Individual
Prefix:MS
First Name:RICHA
Middle Name:
Last Name:JAUHARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44447-C 10TH STREET WEST
Mailing Address - Street 2:TARZANA TREATMENT CENTER
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534
Mailing Address - Country:US
Mailing Address - Phone:661-726-2630
Mailing Address - Fax:661-952-1030
Practice Address - Street 1:44447-C 10TH STREET WEST
Practice Address - Street 2:TARZANA TREATMENT CENTER
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534
Practice Address - Country:US
Practice Address - Phone:661-726-2630
Practice Address - Fax:661-952-1030
Is Sole Proprietor?:No
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program