MEDICARE: MATERNAL HEALTH MEDICAL GROUP 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	:	1497618011
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATERNAL HEALTH MEDICAL GROUP LLC

Provider Business Mailing Address
First Line	:	8690 AERO DR STE 115
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1757
Country	:	US
Telephone Number	:	619-608-1488
Fax Number	:

Provider Business Practice Location Address
First Line	:	15233 VENTURA BLVD
Second Line	:	SUITE 500
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91403
Country	:	US
Telephone Number	:	619-608-1488
Fax Number	:

Authorized Official
Title or Position	:	BOARD MEMBER
Name	:	JADE STORMS
Credential	:
Telephone Number	:	619-608-1488

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

Similar Medicare Providers

1144183054 — CONSTANTINE NICHOLAS ELLIS AMFT
Practice Location Address:

4521 SHERMAN OAKS AVE
SHERMAN OAKS, CA
91403-3807

Practice Phone: 424-261-9444
Practice Fax:

1376406033 — MILDRED DURANO BANZON CNA
Practice Location Address:

4929 VAN NUYS BLVD STE 403
SHERMAN OAKS, CA
91403-1702

Practice Phone: 818-981-7111
Practice Fax:

1902837735 — MD SOLUTIONS MEDICAL CORPORATION
Practice Location Address:

15477 VENTURA BLVD. , SUITE 100
SHERMAN OAKS, CA
91403

Practice Phone: 818-906-6900
Practice Fax: 818-906-6903

1386507903 — HAPPY BABY JOURNEY
Practice Location Address:

15233 VENTURA BLVD. , SUITE 500
SHERMAN OAKS, CA
91403

Practice Phone: 626-628-0205
Practice Fax:

1467316091 — DR BAHAREH FAZILAT MD INC
Practice Location Address:

4940 VAN NUYS BLVD STE 302
SHERMAN OAKS, CA
91403-1743

Practice Phone: 310-507-7748
Practice Fax: 310-598-7997

1932830122 — SHELLI LYNNE RICH
Practice Location Address:

15233 VENTURA BLVD STE 500
SHERMAN OAKS, CA
91403-2231

Practice Phone: 888-880-9270
Practice Fax: 866-500-2186

Directions to “MATERNAL HEALTH MEDICAL GROUP LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.