# ALIGN HEALTH NURSING INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Coast Functional Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740042670
- **Authorized official:** MS. LINDA LONG NP (CEO)
- **Authorized official phone:** (207) 337-0451

## Contact information

- **Practice address:** 187 AVENIDA LA PATA, SAN CLEMENTE, CA 92673-6307
- **Practice address phone:** (207) 337-0451
- **Mailing address:** PO BOX 73236, SAN CLEMENTE, CA 92673-0107
- **Mailing address phone:** (207) 337-0451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202D00000X | Integrative Medicine Physician | — | — | — |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | — | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/25/2024
- **Last updated:** 01/25/2024