MEDICARE: HIGH DESERT BIRTH SERVICES, PC

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	176B00000X	Midwife

General Provider Information

NPI Number	:	1417731456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGH DESERT BIRTH SERVICES, PC

Provider Business Mailing Address
First Line	:	3225 MCLEOD DR STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-2257
Country	:	US
Telephone Number	:	760-963-3762
Fax Number	:	888-515-8123

Provider Business Practice Location Address
First Line	:	20807 US HIGHWAY 18
Second Line	:
City	:	APPLE VALLEY
State	:	CA
Zip	:	92307-3549
Country	:	US
Telephone Number	:	760-963-3762
Fax Number	:	888-515-8123

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. LAREINA GARZA
Credential	:	LM CPM
Telephone Number	:	760-963-3762

Provider Enumeration Date	:	08/21/2023
Last Update Date	:	08/21/2023

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Directions to “HIGH DESERT BIRTH SERVICES, PC ” Practice Location

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