Healthcare Provider Details

I. General information

NPI: 1548013097
Provider Name (Legal Business Name): WHOLLY WOMB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2024
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2105 24TH ST STE 400
BAKERSFIELD CA
93301-3753
US

IV. Provider business mailing address

2105 24TH ST STE 400
BAKERSFIELD CA
93301-3753
US

V. Phone/Fax

Practice location:
  • Phone: 805-975-0366
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: VERONICA SUBIA
Title or Position: OWNER
Credential: DOULA
Phone: 805-975-0366