Healthcare Provider Details

I. General information

NPI: 1447112032
Provider Name (Legal Business Name): ALYSON KAYLA FREEDMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 ENCINITAS BLVD
ENCINITAS CA
92024-3657
US

IV. Provider business mailing address

142 ENCINITAS BLVD
ENCINITAS CA
92024-3657
US

V. Phone/Fax

Practice location:
  • Phone: 760-230-1888
  • Fax:
Mailing address:
  • Phone: 760-230-1888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND1599
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: