Provider Demographics
NPI:1649662263
Name:DOULA
Entity type:Organization
Organization Name:DOULA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOULA
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAGDALENA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-741-1592
Mailing Address - Street 1:22020 MOUNT EDEN RD
Mailing Address - Street 2:PO BOX 2742 SARATOGA
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-9729
Mailing Address - Country:US
Mailing Address - Phone:408-910-1602
Mailing Address - Fax:
Practice Address - Street 1:22020 MOUNT EDEN RD
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-9729
Practice Address - Country:US
Practice Address - Phone:408-910-1602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-19
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty