# SACRED ENTRANCE MIDWIFERY SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093916694
- **Authorized official:** ALEKSANDRA EVANGUEULIDI L.M., CPM (OWNER)
- **Authorized official phone:** (310) 566-7690

## Contact information

- **Practice address:** 11965 VENICE BLVD, SUITE\# 204, LOS ANGELES, CA 90066-3979
- **Practice address phone:** (310) 566-7690
- **Practice address fax:** (310) 566-7699
- **Mailing address:** 11965 VENICE BLVD, SUITE\# 204, LOS ANGELES, CA 90066-3979
- **Mailing address phone:** (310) 566-7690
- **Mailing address fax:** (310) 566-7699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | 201 | CA | Yes |

## Other

- **Enumeration date:** 05/30/2007
- **Last updated:** 12/09/2010