Organization Name: | MI BELLA BIRTH |
NPI Number: | 1114322328 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIFFANY GALLO (OWNER, MIDWIFE, CA LICENSED MIDWIFE) |
Mailing Address: | 27840 Villa Canyon Rd Castaic |
State: | CA US |
Postal Code: | 91384 |
Phone Number: | 8186068076 |
Fax Number: | |
NPI Enumeration Date: | 10/30/2014 |
NPI Last Update Date: | 10/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NW0100X |
License Number: | 409 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Women |
Taxonomy Definition: |