Provider Demographics
NPI:1245112135
Name:BIRTHING BLISS WITH KIM LLC
Entity type:Organization
Organization Name:BIRTHING BLISS WITH KIM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:STALIANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-897-7855
Mailing Address - Street 1:7018 N PARK RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:RIVERBANK
Mailing Address - State:CA
Mailing Address - Zip Code:95367-9654
Mailing Address - Country:US
Mailing Address - Phone:916-897-7855
Mailing Address - Fax:
Practice Address - Street 1:7018 N PARK RIDGE CT
Practice Address - Street 2:
Practice Address - City:RIVERBANK
Practice Address - State:CA
Practice Address - Zip Code:95367-9654
Practice Address - Country:US
Practice Address - Phone:916-897-7855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty