Provider Demographics
NPI:1366031379
Name:SIMI VALLEY BIRTH CENTER
Entity Type:Organization
Organization Name:SIMI VALLEY BIRTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LICENSED MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARRIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-587-1957
Mailing Address - Street 1:4380 APRICOT RD
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-2317
Mailing Address - Country:US
Mailing Address - Phone:805-587-1957
Mailing Address - Fax:805-521-3646
Practice Address - Street 1:4380 APRICOT RD
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-2317
Practice Address - Country:US
Practice Address - Phone:805-587-1957
Practice Address - Fax:805-521-3646
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SIMI VALLEY BIRTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-14
Last Update Date:2023-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty