Provider Demographics
NPI:1487408183
Name:RATHI, SHIKHA
Entity type:Individual
Prefix:
First Name:SHIKHA
Middle Name:
Last Name:RATHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25652 BIRCHLEAF CT
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91381-0601
Mailing Address - Country:US
Mailing Address - Phone:419-973-1111
Mailing Address - Fax:
Practice Address - Street 1:23347 DALBEY DR
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91355-3034
Practice Address - Country:US
Practice Address - Phone:419-973-1111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-17
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA197610256310400000X
CA197610500310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility