Healthcare Provider Details

I. General information

NPI: 1801311824
Provider Name (Legal Business Name): NIGHT AND DAY SAN DIEGO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2017
Last Update Date: 08/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4443 30TH ST STE 205
SAN DIEGO CA
92116-4291
US

IV. Provider business mailing address

4443 30TH ST STE 205
SAN DIEGO CA
92116-4291
US

V. Phone/Fax

Practice location:
  • Phone: 619-312-1832
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number490
License Number StateCA

VIII. Authorized Official

Name: MRS. SARAH DANIELLE BURNS
Title or Position: OWNER, MIDWIFE
Credential: LM, CPM
Phone: 619-672-8566