Healthcare Provider Details

I. General information

NPI: 1386293835
Provider Name (Legal Business Name): A FAMILY AFFAIR BIRTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2019
Last Update Date: 09/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15644 POMERADO RD STE 302
POWAY CA
92064-2455
US

IV. Provider business mailing address

15644 POMERADO RD STE 306
POWAY CA
92064-2419
US

V. Phone/Fax

Practice location:
  • Phone: 858-278-2930
  • Fax: 858-278-2943
Mailing address:
  • Phone: 858-278-2930
  • Fax: 858-278-2943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HEATHER LEMASTER
Title or Position: PRESIDENT
Credential: LM, CPM
Phone: 619-565-8831