Healthcare Provider Details

I. General information

NPI: 1740042670
Provider Name (Legal Business Name): ALIGN HEALTH NURSING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2024
Last Update Date: 01/25/2024
Certification Date: 01/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

187 AVENIDA LA PATA
SAN CLEMENTE CA
92673-6307
US

IV. Provider business mailing address

PO BOX 73236
SAN CLEMENTE CA
92673-0107
US

V. Phone/Fax

Practice location:
  • Phone: 207-337-0451
  • Fax:
Mailing address:
  • Phone: 207-337-0451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. LINDA LONG
Title or Position: CEO
Credential: NP
Phone: 207-337-0451