Healthcare Provider Details

I. General information

NPI: 1275480865
Provider Name (Legal Business Name): THE FREEDOM FUND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 LETTERMAN DR STE D3100
SAN FRANCISCO CA
94129-1502
US

IV. Provider business mailing address

1 LETTERMAN DR STE D3100
SAN FRANCISCO CA
94129-1502
US

V. Phone/Fax

Practice location:
  • Phone: 702-727-6256
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: OMEGA MATTHEWS
Title or Position: MANAGER
Credential:
Phone: 702-727-6256