MEDICARE: MRS. CYNTHIA SEGURA BCCC2025-23

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula	BCCC2025-23	CA

General Provider Information

NPI Number	:	1225988421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CYNTHIA SEGURA BCCC2025-23

Provider Business Mailing Address
First Line	:	2422 ROAD 20
Second Line	:	A-206
City	:	SAN PABLO
State	:	CA
Zip	:	94806
Country	:	US
Telephone Number	:	415-420-2005
Fax Number	:

Provider Business Practice Location Address
First Line	:	2422 ROAD 20
Second Line	:	A-206
City	:	SAN PABLO
State	:	CA
Zip	:	94806
Country	:	US
Telephone Number	:	415-420-2005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

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