Healthcare Provider Details

I. General information

NPI: 1720822711
Provider Name (Legal Business Name): JANET YVETTE ESQUIVEL PATINO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JANETSNEWBORNDOULA JANETSNEWBORNDOULA DOULA

II. Dates (important events)

Enumeration Date: 06/24/2024
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17532 1/2 LANARK ST
NORTHRIDGE CA
91325-4318
US

IV. Provider business mailing address

17532 1/2 LANARK ST
NORTHRIDGE CA
91325-4318
US

V. Phone/Fax

Practice location:
  • Phone: 714-574-2843
  • Fax:
Mailing address:
  • Phone: 714-574-2843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: