1043916331 NPI number — WHOLISTIC MIDWIFERY SCHOOL OF SOUTHERN CALIFORNIA

Table of content: (NPI 1043916331)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043916331 NPI number — WHOLISTIC MIDWIFERY SCHOOL OF SOUTHERN CALIFORNIA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WHOLISTIC MIDWIFERY SCHOOL OF SOUTHERN CALIFORNIA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043916331
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/05/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 LINCOLN AVE UNIT 92495
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PASADENA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91109-5707
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
626-388-2191
Provider Business Mailing Address Fax Number:
626-388-2191

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1334 W FOOTHILL BLVD APT 18G
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UPLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91786-3698
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-388-2191
Provider Business Practice Location Address Fax Number:
626-388-2191
Provider Enumeration Date:
02/07/2023

Additional Information

Authorized Official

Authorized Official Last Name:
HANNA-CHERUIYOT
Authorized Official First Name:
CORDELIA
Authorized Official Middle Name:
SATTERFIELD
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
626-388-2191

Provider Taxonomy Codes

  • Taxonomy code: 176B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 374J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com