Healthcare Provider Details

I. General information

NPI: 1801335708
Provider Name (Legal Business Name): ALTHEAZ LIMITED LIABILITY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2017
Last Update Date: 01/20/2022
Certification Date: 01/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

357 E CARSON ST SUITE 212
CARSON CA
90745-2745
US

IV. Provider business mailing address

357 E CARSON ST SUITE 212
CARSON CA
90745-2745
US

V. Phone/Fax

Practice location:
  • Phone: 951-741-2952
  • Fax:
Mailing address:
  • Phone: 310-427-7472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. REYNALDO ZABALERIO
Title or Position: CEO
Credential:
Phone: 714-829-3264