Healthcare Provider Details

I. General information

NPI: 1932530391
Provider Name (Legal Business Name): DEL MAR BIRTH CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2013
Last Update Date: 12/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1416 EL CENTRO ST SUITE 100
SOUTH PASADENA CA
91030-3202
US

IV. Provider business mailing address

1416 EL CENTRO ST SUITE 100
SOUTH PASADENA CA
91030-3202
US

V. Phone/Fax

Practice location:
  • Phone: 626-577-2229
  • Fax: 877-592-4077
Mailing address:
  • Phone: 626-577-2229
  • Fax: 877-592-4077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. MARGARET KENNEDY
Title or Position: CLINICAL DIRECTOR
Credential: CNM MSN
Phone: 626-577-2229