Provider Demographics
NPI:1629158316
Name:BIRTHING WOMEN'S HEALTH
Entity Type:Organization
Organization Name:BIRTHING WOMEN'S HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NKEMDILIM
Authorized Official - Middle Name:
Authorized Official - Last Name:NDEFO
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:626-683-9015
Mailing Address - Street 1:438 S MARENGO AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-3113
Mailing Address - Country:US
Mailing Address - Phone:626-683-9015
Mailing Address - Fax:626-683-9045
Practice Address - Street 1:438 S MARENGO AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-3113
Practice Address - Country:US
Practice Address - Phone:626-683-9015
Practice Address - Fax:626-683-9045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty