MEDICARE: MIMI'S MAGIC 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	:	1679430789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIMI'S MAGIC LLC

Provider Business Mailing Address
First Line	:	4421 E 5TH ST UNIT D
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90814-3086
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4421 E 5TH ST UNIT D
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90814-3086
Country	:	US
Telephone Number	:	424-222-6636
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMINAH FALAAH
Credential	:
Telephone Number	:	424-222-6636

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

Similar Medicare Providers

1356208466 — AMINAH FALAAH
Practice Location Address:

4421 E 5TH ST UNIT D
LONG BEACH, CA
90814-3086

Practice Phone: 424-222-6636
Practice Fax:

1144870056 — THERESA VERGARA AGACNP-BC
Practice Location Address:

4428 PURVES ST APT 27B
LONG ISLAND CITY, NY
11101-3086

Practice Phone: 402-880-4474
Practice Fax:

1467343020 — STEVEN D GARNER
Practice Location Address:

185 OLD FARMERS RD
LONG VALLEY, NJ
07853-3086

Practice Phone: 908-914-2390
Practice Fax:

1083773519 — MS. PATRICIA L HOTOP LPC
Practice Location Address:

5740 HIGHWAY 54 , LOWER LEVEL
OSAGE BEACH, MO
65065-3086

Practice Phone: 573-348-9979
Practice Fax: 573-348-9975

1043342389 — LORETTA MAE SKELTON PLPC
Practice Location Address:

5740 HIGHWAY 54 , LOWER LEVEL
OSAGE BEACH, MO
65065-3086

Practice Phone: 573-348-9979
Practice Fax: 573-348-9975

1477988020 — KATHLEEN MARIE KERPERIEN RN/ BSN/ IBCLC
Practice Location Address:

3086 TORREY BEACH DRIVE
FENTON, MI
48430

Practice Phone: 586-995-2533
Practice Fax:

Directions to “MIMI'S MAGIC 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 © 2007-2026 (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.