Healthcare Provider Details

I. General information

NPI: 1184556367
Provider Name (Legal Business Name): JOYFUL ROOTS DOULAS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6361 LAKE COMO AVE
SAN DIEGO CA
92119-3124
US

IV. Provider business mailing address

6361 LAKE COMO AVE
SAN DIEGO CA
92119-3124
US

V. Phone/Fax

Practice location:
  • Phone: 619-339-8556
  • Fax:
Mailing address:
  • Phone: 619-339-8556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JOY N KOBRICK
Title or Position: OWNER/DOULA
Credential: CLD, CLEC, CCCE
Phone: 619-339-8556