Provider Demographics
NPI:1508880659
Name:KALTHIA, ASHISH HARJI (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHISH
Middle Name:HARJI
Last Name:KALTHIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12665 GARDEN GROVE BLVD STE 211
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-1916
Mailing Address - Country:US
Mailing Address - Phone:714-636-2890
Mailing Address - Fax:714-636-2909
Practice Address - Street 1:12665 GARDEN GROVE BLVD STE 211
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-1916
Practice Address - Country:US
Practice Address - Phone:714-636-2890
Practice Address - Fax:714-636-2909
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA78472174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist