Provider Demographics
NPI:1609295955
Name:GRACEFULL BIRTHING INC
Entity Type:Organization
Organization Name:GRACEFULL BIRTHING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BACHNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-963-3868
Mailing Address - Street 1:2815 W SUNSET BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-2168
Mailing Address - Country:US
Mailing Address - Phone:323-963-3868
Mailing Address - Fax:323-430-8054
Practice Address - Street 1:2815 W SUNSET BLVD STE 105
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-2168
Practice Address - Country:US
Practice Address - Phone:323-379-4614
Practice Address - Fax:323-430-8054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing