Healthcare Provider Details

I. General information

NPI: 1184561821
Provider Name (Legal Business Name): SAN DIEGO INTERNATIONAL BIRTHING PROJECT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1913 EUCLID AVE
SAN DIEGO CA
92105-5351
US

IV. Provider business mailing address

1913 EUCLID AVE STE 104
SAN DIEGO CA
92105-5360
US

V. Phone/Fax

Practice location:
  • Phone: 619-727-3305
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SHELLEY WINN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 619-727-3305