Healthcare Provider Details

I. General information

NPI: 1881516615
Provider Name (Legal Business Name): GEORGIA SUE CABRAL CD-L, P-ICD, NCS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 ELM CT APT 102
SUNNYVALE CA
94086-2190
US

IV. Provider business mailing address

180 ELM CT APT 102
SUNNYVALE CA
94086-2190
US

V. Phone/Fax

Practice location:
  • Phone: 408-838-4324
  • Fax:
Mailing address:
  • Phone: 408-838-4324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License NumberPICD33023
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License NumberLD271626
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: