Healthcare Provider Details

I. General information

NPI: 1982526695
Provider Name (Legal Business Name): LOTUS DOULA TRIBE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1254 WHITECLIFF RD
THOUSAND OAKS CA
91360-5146
US

IV. Provider business mailing address

PO BOX 7192
WESTLAKE VILLAGE CA
91359-7192
US

V. Phone/Fax

Practice location:
  • Phone: 818-324-9755
  • Fax:
Mailing address:
  • Phone: 818-324-9755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARY L SKINNER
Title or Position: OWNER
Credential: CD
Phone: 818-324-9755