Healthcare Provider Details

I. General information

NPI: 1356263230
Provider Name (Legal Business Name): BLUEWILLOW BIRTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10954 ALETTA AVE
CULVER CITY CA
90232-4002
US

IV. Provider business mailing address

10954 ALETTA AVE
CULVER CITY CA
90232-4002
US

V. Phone/Fax

Practice location:
  • Phone: 310-903-6938
  • Fax: 323-366-1023
Mailing address:
  • Phone: 310-903-6938
  • Fax: 323-366-1023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HIROKO AOYAGI
Title or Position: OWNER
Credential: LM, CPM
Phone: 310-903-6938