Healthcare Provider Details

I. General information

NPI: 1427171313
Provider Name (Legal Business Name): METTA MIDWIFERY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1218 LAWRENCE ST
EL CERRITO CA
94530-2437
US

IV. Provider business mailing address

1218 LAWRENCE ST
EL CERRITO CA
94530-2437
US

V. Phone/Fax

Practice location:
  • Phone: 510-235-4878
  • Fax: 510-235-4878
Mailing address:
  • Phone: 510-235-4878
  • Fax: 510-235-4878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number222732
License Number StateCA

VIII. Authorized Official

Name: MS. AMRIT K KHALSA
Title or Position: ADMINISTRATOR
Credential: R.N.
Phone: 510-235-4878