MEDICARE: BAMBINI 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	:	1902748387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAMBINI DOULAS LLC

Provider Business Mailing Address
First Line	:	6211 PANAMA AVE APT A
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94804-5722
Country	:	US
Telephone Number	:	510-299-8512
Fax Number	:

Provider Business Practice Location Address
First Line	:	6211 PANAMA AVE APT A
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94804-5722
Country	:	US
Telephone Number	:	510-299-8512
Fax Number	:

Authorized Official
Title or Position	:	DOULA
Name	:	MARISTELA AZEVEDO
Credential	:
Telephone Number	:	510-299-8512

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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Directions to “BAMBINI DOULAS LLC ” Practice Location

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