Healthcare Provider Details
I. General information
NPI: 1558270611
Provider Name (Legal Business Name): NITE OWL DOULA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
27775 BURNT MOUNTAIN RD
VALLEY CENTER CA
92082-7709
US
IV. Provider business mailing address
27775 BURNT MOUNTAIN RD
VALLEY CENTER CA
92082-7709
US
V. Phone/Fax
- Phone: 619-987-7940
- Fax:
- Phone: 619-987-7940
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374J00000X |
| Taxonomy | Doula |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CATI
LYNCH
Title or Position: OWNER
Credential:
Phone: 619-987-7940