Healthcare Provider Details

I. General information

NPI: 1275449142
Provider Name (Legal Business Name): DAWN FERGUSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 E ARROW HWY
POMONA CA
91767-2535
US

IV. Provider business mailing address

1010 S ROMNEY DR
WALNUT CA
91789-4804
US

V. Phone/Fax

Practice location:
  • Phone: 909-624-1233
  • Fax:
Mailing address:
  • Phone: 424-521-9271
  • 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: