Provider Demographics
NPI:1932530391
Name:DEL MAR BIRTH CENTER, LLC
Entity Type:Organization
Organization Name:DEL MAR BIRTH CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:CNM MSN
Authorized Official - Phone:626-577-2229
Mailing Address - Street 1:1416 EL CENTRO ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-3202
Mailing Address - Country:US
Mailing Address - Phone:626-577-2229
Mailing Address - Fax:877-592-4077
Practice Address - Street 1:1416 EL CENTRO ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-3202
Practice Address - Country:US
Practice Address - Phone:626-577-2229
Practice Address - Fax:877-592-4077
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DEL MAR BIRTH CENTER, INC A NURSING CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-10
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing