Provider Demographics
NPI:1720527609
Name:MINGURA, BRIANNE (CMP, LM)
Entity Type:Individual
Prefix:
First Name:BRIANNE
Middle Name:
Last Name:MINGURA
Suffix:
Gender:F
Credentials:CMP, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27151 MARINER WAY
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1603
Mailing Address - Country:US
Mailing Address - Phone:562-706-1679
Mailing Address - Fax:
Practice Address - Street 1:27151 MARINER WAY
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1603
Practice Address - Country:US
Practice Address - Phone:562-706-1679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-13
Last Update Date:2019-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM590176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife