Healthcare Provider Details
I. General information
NPI: 1831249077
Provider Name (Legal Business Name): DEBORAH J FREEHLING INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/11/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2204 GRANT ROAD SUITE 102
MOUNTAIN VIEW CA
94040
US
IV. Provider business mailing address
2204 GRANT ROAD SUITE 102
MOUNTAIN VIEW CA
94040
US
V. Phone/Fax
- Phone: 650-969-2270
- Fax: 650-962-9889
- Phone: 650-969-2270
- Fax: 650-962-9889
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| License Number | G48337 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207YX0007X |
| Taxonomy | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
| License Number | G48337 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
DEBORAH
JUNE
FREEHLING
Title or Position: OWNER
Credential: MEDICAL DOCTOR
Phone: 650-969-2270