Provider Demographics
NPI:1003484221
Name:THE MIDWIFE GROUP INC.
Entity Type:Organization
Organization Name:THE MIDWIFE GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLO
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM
Authorized Official - Phone:661-505-8370
Mailing Address - Street 1:25880 TOURNAMENT RD STE 109
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2384
Mailing Address - Country:US
Mailing Address - Phone:661-505-8370
Mailing Address - Fax:661-206-4408
Practice Address - Street 1:24355 LYONS AVE STE 130
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91321-2323
Practice Address - Country:US
Practice Address - Phone:661-505-8370
Practice Address - Fax:661-206-4408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-14
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty