Healthcare Provider Details

I. General information

NPI: 1285562678
Provider Name (Legal Business Name): DARLETA MITCHELL-SHERMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12621 S HOOVER ST
LOS ANGELES CA
90044-3837
US

IV. Provider business mailing address

12621 S HOOVER ST
LOS ANGELES CA
90044-3837
US

V. Phone/Fax

Practice location:
  • Phone: 323-244-8177
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: