Healthcare Provider Details

I. General information

NPI: 1629273206
Provider Name (Legal Business Name): CLAUDIA BETH BREGLIA LM, CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3342 SAN CARLOS WAY
SACRAMENTO CA
95817-3641
US

IV. Provider business mailing address

3342 SAN CARLOS WAY
SACRAMENTO CA
95817-3641
US

V. Phone/Fax

Practice location:
  • Phone: 916-524-4036
  • Fax:
Mailing address:
  • Phone: 916-524-4036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberLM0139
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: