Organization · NPI-2

Align Functional Medicine, PC

Nutritionist · Carlsbad, CA

NPI number1669368999
StatusActive
Last updated in NPPESJun 13, 2025

Details

NPI
1669368999
Entity type
Organization (NPI-2)
Legal business name
Align Functional Medicine, PC
Organization subpart
No
Enumeration date
Jun 13, 2025
Certification date
Jun 13, 2025
Last updated
Jun 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133N00000X Nutritionist––Yes

Practice location

318 Acacia Ave Apt C
Carlsbad, CA 92008-3284

Phone 949-573-3688

Mailing address

318 Acacia Ave Apt C
Carlsbad, CA 92008-3284

Phone 949-573-3688

Authorized official

Jessica Bruno
Owner, Nutritionist
9495733688

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