Healthcare Provider Details

I. General information

NPI: 1679227375
Provider Name (Legal Business Name): TAMARA LYNN HOBBS LM, CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2022
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15644 POMERADO RD STE 306
POWAY CA
92064-2419
US

IV. Provider business mailing address

12463 RANCHO BERNARDO RD # 517
SAN DIEGO CA
92128-2143
US

V. Phone/Fax

Practice location:
  • Phone: 858-213-7314
  • Fax:
Mailing address:
  • Phone: 858-213-7314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number663
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: