Provider Demographics
NPI:1962687103
Name:SUNRISE BIRTH CENTER
Entity Type:Organization
Organization Name:SUNRISE BIRTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARNI
Authorized Official - Middle Name:SEYMOUR
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:805-648-2350
Mailing Address - Street 1:12 N ASH ST
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-2902
Mailing Address - Country:US
Mailing Address - Phone:805-648-2350
Mailing Address - Fax:805-648-2229
Practice Address - Street 1:12 N ASH ST
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001-2902
Practice Address - Country:US
Practice Address - Phone:805-648-2350
Practice Address - Fax:805-648-2229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM15261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing