Provider Demographics
NPI:1427927334
Name:ALTHEA INFUSION LLC
Entity type:Organization
Organization Name:ALTHEA INFUSION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SANTOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANDHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-667-4325
Mailing Address - Street 1:22601 LA PALMA AVE STE 101A
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-6711
Mailing Address - Country:US
Mailing Address - Phone:949-667-4325
Mailing Address - Fax:949-392-8762
Practice Address - Street 1:22601 LA PALMA AVE STE 101A
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-6711
Practice Address - Country:US
Practice Address - Phone:949-667-4325
Practice Address - Fax:949-392-8762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-30
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1CQMH2800OtherHIN