Provider Demographics
NPI:1164856845
Name:SENSALO, JOSEPHINE CHRISTINE (CNM)
Entity Type:Individual
Prefix:MRS
First Name:JOSEPHINE
Middle Name:CHRISTINE
Last Name:SENSALO
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1544 SHERWOOD VILLAGE CIR
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-3103
Mailing Address - Country:US
Mailing Address - Phone:714-745-4210
Mailing Address - Fax:
Practice Address - Street 1:947 S. ANAHEIM BLVD
Practice Address - Street 2:#240
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-5584
Practice Address - Country:US
Practice Address - Phone:714-774-8870
Practice Address - Fax:714-635-5704
Is Sole Proprietor?:No
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1669176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1669OtherCERTIFIED NURSE MIDWIFE