Provider Demographics
NPI:1710787379
Name:FREDI THE DOULA LLC
Entity type:Organization
Organization Name:FREDI THE DOULA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FREDERIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEITZEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-564-3288
Mailing Address - Street 1:4252 MENTONE AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-3443
Mailing Address - Country:US
Mailing Address - Phone:650-564-3288
Mailing Address - Fax:
Practice Address - Street 1:4252 MENTONE AVE UNIT A
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-3443
Practice Address - Country:US
Practice Address - Phone:650-564-3288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty