Healthcare Provider Details

I. General information

NPI: 1073326948
Provider Name (Legal Business Name): CUDDLE CARE BIRTHWORK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2025
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9932 KIKA CT
SAN DIEGO CA
92129-5057
US

IV. Provider business mailing address

16870 W BERNARDO DR STE 400
SAN DIEGO CA
92127-1678
US

V. Phone/Fax

Practice location:
  • Phone: 858-480-9405
  • Fax:
Mailing address:
  • Phone: 858-480-9405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANDI OVERLY-FITZGERALD
Title or Position: BIRTH & POSTPARTUM DOULA
Credential:
Phone: 858-401-3944