Provider Demographics
NPI:1851143622
Name:HAZARI, JAYNISH KAUSHIK (MA, MPH)
Entity Type:Individual
Prefix:
First Name:JAYNISH
Middle Name:KAUSHIK
Last Name:HAZARI
Suffix:
Gender:M
Credentials:MA, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28468 SUNFLOWER ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:CA
Mailing Address - Zip Code:92346-5773
Mailing Address - Country:US
Mailing Address - Phone:510-305-2835
Mailing Address - Fax:
Practice Address - Street 1:1950 S SUNWEST LN STE 200
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-3248
Practice Address - Country:US
Practice Address - Phone:909-252-4017
Practice Address - Fax:909-252-4055
Is Sole Proprietor?:No
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program