Healthcare Provider Details

I. General information

NPI: 1518719376
Provider Name (Legal Business Name): ALLIANCE HOME HEALTH-INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2024
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8911 LA MESA BLVD STE 203
LA MESA CA
91942-9032
US

IV. Provider business mailing address

8911 LA MESA BLVD STE 203
LA MESA CA
91942-9032
US

V. Phone/Fax

Practice location:
  • Phone: 858-284-1010
  • Fax: 858-284-1010
Mailing address:
  • Phone: 858-284-1010
  • Fax: 858-284-1010

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: SURAJ KUSHVAH
Title or Position: PRESIDENT
Credential:
Phone: 858-284-1010