MEDICARE: SUNKISSED DOULA

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	:	1922807106
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNKISSED DOULA

Provider Business Mailing Address
First Line	:	611 WILSHIRE BLVD STE 900
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-2905
Country	:	US
Telephone Number	:	323-404-4222
Fax Number	:

Provider Business Practice Location Address
First Line	:	636 N HILL PL APT 306B
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-2291
Country	:	US
Telephone Number	:	323-404-4222
Fax Number	:

Authorized Official
Title or Position	:	DOULA
Name	:	ANTOINETTE JOHNSON
Credential	:
Telephone Number	:	323-404-4221

Provider Enumeration Date	:	03/11/2025
Last Update Date	:	03/11/2025

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Directions to “SUNKISSED DOULA ” Practice Location

Language	Start Address	Practice Location

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