# SOUTH BAY BIRTH

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

## Provider details

- **NPI number:** 1215558549
- **Authorized official:** LAURA MONROE BURNETT LM CPM (OWNER, MIDWIFE)
- **Authorized official phone:** (310) 663-8175

## Contact information

- **Practice address:** 700 N PACIFIC COAST HWY STE 202B, REDONDO BEACH, CA 90277-2147
- **Practice address phone:** (310) 663-8175
- **Practice address fax:** (310) 773-9031
- **Mailing address:** 416 E ELLIS AVE, INGLEWOOD, CA 90302-1318
- **Mailing address phone:** (310) 663-8175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | — | NULL | Yes |
| 176B00000X | Midwife | — | — | Yes |

## Other

- **Enumeration date:** 04/27/2020
- **Last updated:** 04/27/2020