Provider Demographics
NPI:1043916331
Name:WHOLISTIC MIDWIFERY SCHOOL OF SOUTHERN CALIFORNIA
Entity Type:Organization
Organization Name:WHOLISTIC MIDWIFERY SCHOOL OF SOUTHERN CALIFORNIA
Other - Org Name:HAPPY MAMA HEALTHY BABY ALLIANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CORDELIA
Authorized Official - Middle Name:SATTERFIELD
Authorized Official - Last Name:HANNA-CHERUIYOT
Authorized Official - Suffix:
Authorized Official - Credentials:MPH/CHES
Authorized Official - Phone:626-388-2191
Mailing Address - Street 1:600 LINCOLN AVE UNIT 92495
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91109-5707
Mailing Address - Country:US
Mailing Address - Phone:626-388-2191
Mailing Address - Fax:626-388-2191
Practice Address - Street 1:752 N MARENGO AVE APT 2
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91103-4148
Practice Address - Country:US
Practice Address - Phone:626-388-2191
Practice Address - Fax:626-388-2191
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:10725679
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-07
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty