# ITHIOPIA LLC

> 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:** 1164221347
- **Authorized official:** ITHOPIA MCKINNEY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (279) 465-1236

## Contact information

- **Practice address:** 10485 FOLSOM BVLD, SUITE B, RANCHO CORDOVA, CA 95670
- **Practice address phone:** (279) 465-1236
- **Mailing address:** 10436 COLOMA RD \# 22, RANCHO CORDOVA, CA 95670-2157
- **Mailing address phone:** (279) 465-1236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | — | NULL | Yes |
| 367A00000X | Advanced Practice Midwife | — | — | Yes |
| 374J00000X | Doula | — | NULL | — |
| 374J00000X | Doula | — | — | — |

## Other

- **Enumeration date:** 03/11/2025
- **Last updated:** 03/11/2025