Organization
BIRCH BABY LLC
Active
Other names
Birch Family Birth Services
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER BRUHN (OWNER)
(805) 380-7771
Entity
Organization
Contact information
Practice address
199 W HILLCREST DR, THOUSAND OAKS, CA 91360-7892
(805) 380-7771
Mailing address
199 W HILLCREST DR, THOUSAND OAKS, CA 91360-7892
(805) 380-7771
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
CA
374J00000X
Doula
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972043917
—
CA
Enumeration date
09/29/2017
Last updated
07/21/2022
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