MEDICARE: JOYFUL ROOTS DOULAS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1184556367
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOYFUL ROOTS DOULAS LLC

Provider Business Mailing Address
First Line	:	6361 LAKE COMO AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92119-3124
Country	:	US
Telephone Number	:	619-339-8556
Fax Number	:

Provider Business Practice Location Address
First Line	:	6361 LAKE COMO AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92119-3124
Country	:	US
Telephone Number	:	619-339-8556
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DOULA
Name	:	JOY N KOBRICK
Credential	:	CLD, CLEC, CCCE
Telephone Number	:	619-339-8556

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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