Healthcare Provider Details

I. General information

NPI: 1538005954
Provider Name (Legal Business Name): DOULA SOLACE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 CAPITOL AVE
FREMONT CA
94538-1483
US

IV. Provider business mailing address

440 N BARRANCA AVE # 4117
COVINA CA
91723-1722
US

V. Phone/Fax

Practice location:
  • Phone: 925-502-1447
  • Fax:
Mailing address:
  • Phone: 925-502-1447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: JESSICA ROSS
Title or Position: CNS, DOULA, AND OWNER
Credential: RN, CNS
Phone: 925-502-1447