Organization
BEACH CITIES MIDWIFERY & WOMEN'S HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA B. SHERWOOD CNM, WHCNP, RN (CERTIFIED NURSE MIDWIFE)
(949) 661-3101
Entity
Organization
Contact information
Practice address
665 CAMINO DE LOS MARES STE 203A, SAN CLEMENTE, CA 92673-2836
(949) 661-3101
(949) 443-5275
Mailing address
665 CAMINO DE LOS MARES STE 203A, SAN CLEMENTE, CA 92673-2836
(949) 661-3101
(949) 443-5275
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
301031
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1430
MF, NMW
CA
01
—
301031
CALIFORNIA LICENSE NUMBER
CA
Enumeration date
01/31/2007
Last updated
08/22/2020
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