=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851180657
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EMBER FERTILITY CENTER P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/06/2025
-----------------------------------------------------
Last Update Date | 05/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 23521 PASEO DE VALENCIA STE 100
-----------------------------------------------------
City | LAGUNA HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92653-3126
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-666-2229
-----------------------------------------------------
Fax | 949-767-2008
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 23521 PASEO DE VALENCIA STE 100
-----------------------------------------------------
City | LAGUNA HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92653-3126
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-666-2229
-----------------------------------------------------
Fax | 949-767-2008
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. WILLIAM ALEXANDER FREIJE
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 949-666-2229
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207VE0102X
-----------------------------------------------------
Taxonomy Name | Reproductive Endocrinology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------