Healthcare Provider Details

I. General information

NPI: 1043916331
Provider Name (Legal Business Name): WHOLISTIC MIDWIFERY SCHOOL OF SOUTHERN CALIFORNIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2023
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1334 W FOOTHILL BLVD APT 18G
UPLAND CA
91786-3698
US

IV. Provider business mailing address

600 LINCOLN AVE UNIT 92495
PASADENA CA
91109-5707
US

V. Phone/Fax

Practice location:
  • Phone: 626-388-2191
  • Fax: 626-388-2191
Mailing address:
  • Phone: 626-388-2191
  • Fax: 626-388-2191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: CORDELIA SATTERFIELD HANNA-CHERUIYOT
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 626-388-2191