Healthcare Provider Details

I. General information

NPI: 1770377574
Provider Name (Legal Business Name): PLETHY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3097 PRUNERIDGE AVE
SANTA CLARA CA
95051-6146
US

IV. Provider business mailing address

3097 PRUNERIDGE AVE
SANTA CLARA CA
95051-6146
US

V. Phone/Fax

Practice location:
  • Phone: 669-288-6588
  • Fax: 855-845-1018
Mailing address:
  • Phone: 669-288-6588
  • Fax: 855-845-1018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: RAJA SUNDARAM
Title or Position: CEO
Credential:
Phone: 669-288-6588