# COASTAL MATERNITY CARE, INC.

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

## Provider details

- **NPI number:** 1588086136
- **Authorized official:** SHARON ECONOMIDES LM, CPM, IBCLC (OWNER, MIDWIFE, LACTATION CONSULTAN)
- **Authorized official phone:** (415) 649-6262

## Contact information

- **Practice address:** 450 DONDEE ST STE 5, PACIFICA, CA 94044-3258
- **Practice address phone:** (415) 649-6262
- **Practice address fax:** (415) 649-6262
- **Mailing address:** PO BOX 743, PACIFICA, CA 94044-0743
- **Mailing address phone:** (415) 649-6262
- **Mailing address fax:** (415) 649-6262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174N00000X | Lactation Consultant (Non-RN) | L10992 | CA | — |
| 176B00000X | Midwife | 225 | CA | Yes |

## Other

- **Enumeration date:** 01/16/2014
- **Last updated:** 01/16/2014
