Provider Demographics
NPI:1164283784
Name:UNIQUE BIRTH EXPERIENCE DOULAS
Entity Type:Organization
Organization Name:UNIQUE BIRTH EXPERIENCE DOULAS
Other - Org Name:U.B.E.DOULAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KYIESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-577-9337
Mailing Address - Street 1:101 W MISSION BLVD # 110-268
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91766-1711
Mailing Address - Country:US
Mailing Address - Phone:213-370-2595
Mailing Address - Fax:
Practice Address - Street 1:101 W MISSION BLVD # 110-268
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91766-1711
Practice Address - Country:US
Practice Address - Phone:213-370-2595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty