Healthcare Provider Details

I. General information

NPI: 1679416903
Provider Name (Legal Business Name): MONICA ELISA HERRERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2026
Last Update Date: 04/11/2026
Certification Date: 04/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1624 K ST # F
MERCED CA
95340-4814
US

IV. Provider business mailing address

5511 MICHELLE CT
ATWATER CA
95301-6275
US

V. Phone/Fax

Practice location:
  • Phone: 209-215-5400
  • Fax:
Mailing address:
  • Phone: 209-913-0111
  • 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: