Free Flow Health Acupuncture

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

13487 Issued in CA

Legal business name

FREE FLOW HEALTH ACUPUNCTURE

Practice address

4002 Park Blvd. Ste.E
San Diego, CA 92103

Phone

(619) 793-7030

Fax

(619) 294-2624

NPI assigned

Dec 21, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Chantal Lorraine Davis, L.AC.NPI 1730492174

Title

Provider

Phone

(619) 793-7030

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chantal Lorraine Davis, L.AC.

  • Acupuncturist
  • San Diego, CA
  • NPI 1730492174
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1548705908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 PARK BLVD. STE.E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "619-793-7030",
            "fax_number": "619-294-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 PARK BLVD. STE.E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "619-793-7030",
            "fax_number": "619-294-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE FLOW HEALTH ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHANTAL",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "619-793-7030",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "13487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Austin Fredricks
• Natalie Jean Fredricks, MA, AMFT
• Daniel Aaron Fredrickson, DMD
• Jenne Fredrickson
• Sarah Charlene Fredrickson
• Chun Che Lotspeich Free
• Oceana Free, M.F.T.
• Alison Freedman, PSY.D.
• Charles Freedman, MD
• Christina Nichole Freedman, M.S.,CCC-SLP

• Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.