MEDICARE: CALIFORNIA DOULA SERVICES INC.

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

General Provider Information

NPI Number	:	1710702576
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALIFORNIA DOULA SERVICES INC.

Provider Business Mailing Address
First Line	:	6151 RADFORD AVE APT 402
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-0035
Country	:	US
Telephone Number	:	310-345-9744
Fax Number	:

Provider Business Practice Location Address
First Line	:	6151 RADFORD AVE APT 402
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-0035
Country	:	US
Telephone Number	:	310-345-9744
Fax Number	:

Authorized Official
Title or Position	:	CEO/DIRECTOR
Name	:	HAMBIK ISSAEI
Credential	:
Telephone Number	:	310-345-9744

Provider Enumeration Date	:	11/18/2024
Last Update Date	:	11/18/2024

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