# THE SANCTUARY BIRTH & FAMILY WELLNESS CENTER

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

## Provider details

- **NPI number:** 1790085942
- **Authorized official:** ALEKSANDRA EVANGUELIDI LM, CPM (CO-OWNER)
- **Authorized official phone:** (310) 566-7690

## Contact information

- **Practice address:** 11965 VENICE BLVD, SUITE 307, LOS ANGELES, CA 90066-3979
- **Practice address phone:** (310) 566-7690
- **Practice address fax:** (310) 566-7699
- **Mailing address:** 11965 VENICE BLVD, SUITE 307, 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 |
| 261QB0400X | Birthing Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/21/2010
- **Last updated:** 03/06/2012