MEDICARE: BREATHE & BLOSSOM 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	:	1891572327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREATHE & BLOSSOM LLC

Provider Business Mailing Address
First Line	:	5716 WHITSETT AVE APT 9
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91607-4535
Country	:	US
Telephone Number	:	407-432-1997
Fax Number	:

Provider Business Practice Location Address
First Line	:	5716 WHITSETT AVE APT 9
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91607-4535
Country	:	US
Telephone Number	:	407-432-1997
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROBYN KATERS
Credential	:
Telephone Number	:	407-432-1997

Provider Enumeration Date	:	09/08/2023
Last Update Date	:	09/08/2023

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Directions to “BREATHE & BLOSSOM LLC ” Practice Location

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