Provider Demographics
NPI:1821782087
Name:ANSAR EL MUHAMMAD DOULA LLC
Entity Type:Organization
Organization Name:ANSAR EL MUHAMMAD DOULA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANSAR
Authorized Official - Middle Name:EL
Authorized Official - Last Name:MUHAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-803-9515
Mailing Address - Street 1:200 S SYCAMORE AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-3047
Mailing Address - Country:US
Mailing Address - Phone:971-803-9515
Mailing Address - Fax:
Practice Address - Street 1:200 S SYCAMORE AVE APT 6
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-3047
Practice Address - Country:US
Practice Address - Phone:971-803-9515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty