Provider Demographics
NPI:1538592472
Name:BIRTH YOUR WAY BIRTH CENTER - AN INTERNATIONAL MIDWIFERY PRACTICE
Entity type:Organization
Organization Name:BIRTH YOUR WAY BIRTH CENTER - AN INTERNATIONAL MIDWIFERY PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADVANCED PRACTICE MIDWIFE
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ANGELA
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:951-263-9666
Mailing Address - Street 1:12152 BRYANT ST
Mailing Address - Street 2:PO BOX 942
Mailing Address - City:YUCAIPA
Mailing Address - State:CA
Mailing Address - Zip Code:92399-4478
Mailing Address - Country:US
Mailing Address - Phone:951-263-9666
Mailing Address - Fax:909-797-6849
Practice Address - Street 1:12152 BRYANT ST
Practice Address - Street 2:
Practice Address - City:YUCAIPA
Practice Address - State:CA
Practice Address - Zip Code:92399-4478
Practice Address - Country:US
Practice Address - Phone:951-263-9666
Practice Address - Fax:909-797-6849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1593261QF0050X, 261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical