Healthcare Provider Details

I. General information

NPI: 1750634812
Provider Name (Legal Business Name): FAITH FREEMAN CPM LM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2012
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 W. 7TH STREET STE 711
LOS ANGELES CA
90017
US

IV. Provider business mailing address

727 W. 7TH STREET STE 711
LOS ANGELES CA
90017-2009
US

V. Phone/Fax

Practice location:
  • Phone: 323-536-2998
  • Fax: 855-701-3163
Mailing address:
  • Phone: 918-688-7919
  • Fax: 855-701-3163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number549
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: