Healthcare Provider Details

I. General information

NPI: 1447604525
Provider Name (Legal Business Name): INFUSION EXPRESS OF CALIFORNIA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2016
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43360 MISSION BLVD SUITE 100
FREMONT CA
94539
US

IV. Provider business mailing address

13344 METCALF AVE
OVERLAND PARK KS
66213-2804
US

V. Phone/Fax

Practice location:
  • Phone: 510-992-4114
  • Fax: 844-900-1292
Mailing address:
  • Phone: 913-948-2020
  • Fax: 844-435-3188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM SEIBELS
Title or Position: CFO
Credential:
Phone: 615-419-4343