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Organization

PURE BIRTHS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TIFFANY GALLO LM, CPM (MIDWIFE, OWNER)
(661) 505-8370
Entity
Organization

Contact information

Practice address
24355 LYONS AVE STE 240, SANTA CLARITA, CA 91321-2390
(661) 505-8370
(661) 206-4408
Mailing address
24355 LYONS AVE STE 240, SANTA CLARITA, CA 91321-2390
(661) 505-8370

Taxonomy

Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
LM409
CA
261QC1500X
Community Health Clinic/Center
LM409
CA

Other

Enumeration date
03/23/2017
Last updated
05/02/2022
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