MEDICARE: ELISE FREUND DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	36771	CA

General Provider Information

NPI Number	:	1285408443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELISE FREUND DC

Provider Business Mailing Address
First Line	:	1895 JACKSON ST APT 304
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-2817
Country	:	US
Telephone Number	:	360-509-2190
Fax Number	:

Provider Business Practice Location Address
First Line	:	644 LAGUNA ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94102-4217
Country	:	US
Telephone Number	:	415-909-3299
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2023
Last Update Date	:	11/08/2023

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Directions to “ ELISE FREUND DC” Practice Location

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