Healthcare Provider Details

I. General information

NPI: 1437069424
Provider Name (Legal Business Name): DAPHNE LEMONIS
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2170 CENTURY PARK E APT 209
LOS ANGELES CA
90067-2205
US

IV. Provider business mailing address

1031 S SHERBOURNE DR
LOS ANGELES CA
90035-2103
US

V. Phone/Fax

Practice location:
  • Phone: 475-222-3852
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: