Organization
BAKERSFIELD BIRTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUSTINE O'CONNELL BACKHAUS LM,CPM,IBCLC (OWNER, CLINICAL DIRECTOR, MIDWIFE)
(661) 557-0639
Entity
Organization
Contact information
Practice address
6001 TRUXTUN AVE STE 360, BAKERSFIELD, CA 93309-0679
(661) 821-0659
(661) 821-0796
Mailing address
23801 COYOTE CT, TEHACHAPI, CA 93561-9213
(661) 821-0659
(661) 821-0796
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
LM185
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174645360
NPPES
CA
Enumeration date
05/02/2016
Last updated
05/02/2016
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