Healthcare Provider Details

I. General information

NPI: 1558812479
Provider Name (Legal Business Name): ABC BIRTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2016
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 E. ALVARADO ST.
FALLBROOK CA
92028-2049
US

IV. Provider business mailing address

123 E. ALVARADO ST.
FALLBROOK CA
92028-2049
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberLM429
License Number StateCA

VIII. Authorized Official

Name: CRISTI MARIE LEWIS
Title or Position: EXECUTIVE DIRECTOR
Credential: LM, CPM
Phone: 760-877-9939