Healthcare Provider Details

I. General information

NPI: 1437078854
Provider Name (Legal Business Name): RAYNESHA ELMIRA ASHLEY GALE 374J00000X (DOULA)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12687 ANTIGUA CT
LYNWOOD CA
90262-5377
US

IV. Provider business mailing address

12687 ANTIGUA CT
LYNWOOD CA
90262-5377
US

V. Phone/Fax

Practice location:
  • Phone: 310-986-7221
  • Fax: 310-986-7221
Mailing address:
  • Phone: 310-986-7221
  • Fax: 310-986-7221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License NumberCPT-00028410
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: