Healthcare Provider Details

I. General information

NPI: 1043101694
Provider Name (Legal Business Name): VERY LEGENDARY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2025
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11970 OLD RIVER SCHOOL RD APT 17
DOWNEY CA
90242-2168
US

IV. Provider business mailing address

16808 MAIN ST STE D363
HESPERIA CA
92345-7922
US

V. Phone/Fax

Practice location:
  • Phone: 323-770-8290
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: SHERRIE LEGENDRE
Title or Position: MIDWIFE/MONITRICE DOULA
Credential: LM,CPM
Phone: 323-770-8290