Healthcare Provider Details

I. General information

NPI: 1740974187
Provider Name (Legal Business Name): FIKA NEWBORN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2023
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5825 E CREEKSIDE AVE UNIT 21
ORANGE CA
92869-3171
US

IV. Provider business mailing address

2050 N TUSTIN ST # 1142
ORANGE CA
92865-3902
US

V. Phone/Fax

Practice location:
  • Phone: 714-726-2958
  • Fax:
Mailing address:
  • Phone: 714-726-2958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TERESE FLORES
Title or Position: OWNER/DOULA
Credential: PPD. BA
Phone: 714-726-2958