Organization
FAMILY CENTERED BIRTH
Active
Organization
FAMILY CENTERED BIRTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHARINE E POTTHAST LM, CPM (LICENSED MIDWIFE)
(714) 812-5275
Entity
Organization
Contact information
Practice address
17399 HEIGHTS LN, RIVERSIDE, CA 92503-7092
(714) 812-5275
(208) 979-5283
Mailing address
1820 FULLERTON AVE STE 250, CORONA, CA 92881-7001
(714) 812-5275
(208) 979-5283
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
LM347
CA
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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