Provider Demographics
NPI:1386220317
Name:YOUR COMMUNITY MIDWIFE/SAN DIEGO COMMUNITY BIRTH CENTER
Entity Type:Organization
Organization Name:YOUR COMMUNITY MIDWIFE/SAN DIEGO COMMUNITY BIRTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:NIKKI
Authorized Official - Middle Name:
Authorized Official - Last Name:HELMS
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:619-269-6969
Mailing Address - Street 1:2801 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-6207
Mailing Address - Country:US
Mailing Address - Phone:619-269-6969
Mailing Address - Fax:619-393-0131
Practice Address - Street 1:2801 4TH AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-6207
Practice Address - Country:US
Practice Address - Phone:619-269-6969
Practice Address - Fax:619-393-0131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-21
Last Update Date:2021-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty