Healthcare Provider Details

I. General information

NPI: 1184398984
Provider Name (Legal Business Name): DEBORAH ANN EAKES CPM/LM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2021
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 E ALVARADO ST
FALLBROOK CA
92028-2049
US

IV. Provider business mailing address

1944 RUE CHATEAU
CHULA VISTA CA
91913-1203
US

V. Phone/Fax

Practice location:
  • Phone: 760-645-3447
  • Fax: 951-200-4396
Mailing address:
  • Phone: 320-522-3773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberLM704
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: