Healthcare Provider Details

I. General information

NPI: 1780503565
Provider Name (Legal Business Name): KARTHIK CONSULTING CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 N RAYMOND AVE UNIT 101
PASADENA CA
91103
US

IV. Provider business mailing address

556 S FAIR OAKS AVE STE 101
PASADENA CA
91105-2657
US

V. Phone/Fax

Practice location:
  • Phone: 323-600-3132
  • Fax:
Mailing address:
  • Phone: 323-600-3132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KARTHIK THENKONDAR
Title or Position: OWNER
Credential:
Phone: 323-600-3132