Healthcare Provider Details
I. General information
NPI: 1851180657
Provider Name (Legal Business Name): EMBER FERTILITY CENTER P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/06/2025
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
23521 PASEO DE VALENCIA STE 100
LAGUNA HILLS CA
92653-3126
US
IV. Provider business mailing address
23521 PASEO DE VALENCIA STE 100
LAGUNA HILLS CA
92653-3126
US
V. Phone/Fax
- Phone: 949-666-2229
- Fax: 949-767-2008
- Phone: 949-666-2229
- Fax: 949-767-2008
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
WILLIAM
ALEXANDER
FREIJE
Title or Position: OWNER
Credential: M.D.
Phone: 949-666-2229