Healthcare Provider Details

I. General information

NPI: 1972469500
Provider Name (Legal Business Name): OREEN LIEL ISHAAYA CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9230 W OLYMPIC BLVD
BEVERLY HILLS CA
90212-4673
US

IV. Provider business mailing address

16655 STONE OAK PARK
LOS ANGELES CA
90049-7701
US

V. Phone/Fax

Practice location:
  • Phone: 323-954-1788
  • Fax:
Mailing address:
  • Phone: 818-618-5449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number236609
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: