Healthcare Provider Details

I. General information

NPI: 1548178882
Provider Name (Legal Business Name): ALIGN INTEGRATIVE MEDICINE & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2270 E PALMDALE BLVD STE K
PALMDALE CA
93550-1339
US

IV. Provider business mailing address

2318 W AVENUE P12
PALMDALE CA
93551-6021
US

V. Phone/Fax

Practice location:
  • Phone: 661-724-4242
  • Fax:
Mailing address:
  • Phone: 661-724-4242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. AYESHA OGLE
Title or Position: PRESIDENT
Credential: NP
Phone: 310-430-0190