Healthcare Provider Details

I. General information

NPI: 1376407833
Provider Name (Legal Business Name): DR NATALIE MUTH, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

374 N COAST HIGHWAY 101
ENCINITAS CA
92024
US

IV. Provider business mailing address

374 N COAST HIGHWAY 101
ENCINITAS CA
92024
US

V. Phone/Fax

Practice location:
  • Phone: 619-432-2368
  • Fax:
Mailing address:
  • Phone: 619-432-2368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2080B0002X
TaxonomyPediatric Obesity Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NATALIE MUTH
Title or Position: PRESIDENT & CEO
Credential: MD
Phone: 760-840-7048