| Organization Name: | SPROUT BIRTH CENTER & NATURAL HEALTH, PLLC |
| NPI Number: | 1881077584 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBORAH GLEISNER (OWNER) |
| Mailing Address: | 8640 Gulana Ave Unit J3001 Playa Del Rey |
| State: | CA US |
| Postal Code: | 902938371 |
| Phone Number: | 2063008069 |
| Fax Number: | |
| NPI Enumeration Date: | 06/30/2015 |
| NPI Last Update Date: | 07/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QB0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Birthing |
| Taxonomy Definition: | |