Healthcare Provider Details

I. General information

NPI: 1265766638
Provider Name (Legal Business Name): BIRTH MATTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2009
Last Update Date: 12/14/2022
Certification Date: 12/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1904 S HORNE ST SUITE A
OCEANSIDE CA
92054-6406
US

IV. Provider business mailing address

1904 S HORNE ST SUITE A
OCEANSIDE CA
92054-6406
US

V. Phone/Fax

Practice location:
  • Phone: 760-757-8650
  • Fax: 760-400-3035
Mailing address:
  • Phone: 760-757-8650
  • Fax: 760-439-9658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberLM0026
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License NumberLM0026
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE ANNE FREUND
Title or Position: LICENSED MIDWIFE
Credential:
Phone: 760-757-8650