Healthcare Provider Details
I. General information
NPI: 1700709169
Provider Name (Legal Business Name): OMM BIRTHWORK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17725 CRENSHAW BLVD STE 206
TORRANCE CA
90504-4154
US
IV. Provider business mailing address
17725 CRENSHAW BLVD STE 206
TORRANCE CA
90504-4154
US
V. Phone/Fax
- Phone: 310-910-6703
- Fax:
- Phone: 310-910-6703
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174N00000X |
| Taxonomy | Lactation Consultant (Non-RN) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374J00000X |
| Taxonomy | Doula |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
GABRIELA
MARIA
SAILES
Title or Position: FOUNDER
Credential: CLES, CBE
Phone: 310-910-6703