Healthcare Provider Details

I. General information

NPI: 1598539413
Provider Name (Legal Business Name): BIRTH COMPANIONS COMMUNITY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2023
Last Update Date: 11/28/2023
Certification Date: 11/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 SAN JUAN AVE
SAN FRANCISCO CA
94112-2615
US

IV. Provider business mailing address

29 SAN JUAN AVE
SAN FRANCISCO CA
94112-2615
US

V. Phone/Fax

Practice location:
  • Phone: 415-595-9171
  • Fax:
Mailing address:
  • Phone: 415-595-9171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: VERONICA FREGOSO
Title or Position: DIRECTOR
Credential:
Phone: 415-591-9171