Healthcare Provider Details

I. General information

NPI: 1235065020
Provider Name (Legal Business Name): KHUSHI MALHOTRA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15172 CHALON CIR
IRVINE CA
92604-3117
US

IV. Provider business mailing address

15172 CHALON CIR
IRVINE CA
92604-3117
US

V. Phone/Fax

Practice location:
  • Phone: 949-413-3028
  • Fax:
Mailing address:
  • Phone: 949-413-3028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: