Healthcare Provider Details

I. General information

NPI: 1033009287
Provider Name (Legal Business Name): KARUNA KHERA COACH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3929 FAIRLANDS DR
PLEASANTON CA
94588-3422
US

IV. Provider business mailing address

3929 FAIRLANDS DR
PLEASANTON CA
94588-3422
US

V. Phone/Fax

Practice location:
  • Phone: 619-300-6411
  • Fax:
Mailing address:
  • Phone: 619-300-6411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: