Organization
MOXIE BIRTH
Active
Organization
MOXIE BIRTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENTE KAISER MD (OWNER)
(213) 219-9103
Entity
Organization
Contact information
Practice address
1416 EL CENTRO ST # 100, SOUTH PASADENA, CA 91030-3202
(626) 437-7908
Mailing address
1416 EL CENTRO ST # 100, SOUTH PASADENA, CA 91030-3202
(626) 399-0649
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
—
—
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
04/11/2023
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