Provider Demographics
NPI:1942544655
Name:SCV BIRTH CENTER, INC.
Entity Type:Organization
Organization Name:SCV BIRTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:SICIGNANO
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM, IBCLC
Authorized Official - Phone:661-254-3000
Mailing Address - Street 1:23548 LYONS AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-5772
Mailing Address - Country:US
Mailing Address - Phone:661-254-3000
Mailing Address - Fax:661-630-4427
Practice Address - Street 1:23548 LYONS AVE
Practice Address - Street 2:SUITE B
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-5772
Practice Address - Country:US
Practice Address - Phone:661-254-3000
Practice Address - Fax:661-630-4427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-19
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA236261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing