Healthcare Provider Details

I. General information

NPI: 1750265492
Provider Name (Legal Business Name): ALEXANDRA EISELE RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXANDRA STRILER RD

II. Dates (important events)

Enumeration Date: 08/05/2025
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 N COAST HIGHWAY 101 STE A
ENCINITAS CA
92024-2074
US

IV. Provider business mailing address

1384 HYGEIA AVE
ENCINITAS CA
92024-1621
US

V. Phone/Fax

Practice location:
  • Phone: 202-932-9958
  • Fax:
Mailing address:
  • Phone: 760-631-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86168684
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: