Organization
CYPRESS AVENUE SAGE FEMMES INC/ CYPRESS AVENUE SAGE FEMMES BIRTH HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH TINKELENBERG (DIRECTOR/MIDWIFE)
(650) 745-8195
Entity
Organization
Contact information
Practice address
713 CYPRESS AVE, SOUTH SAN FRANCISCO, CA 94080-2861
(650) 745-8195
(650) 989-8408
Mailing address
713 CYPRESS AVE, SOUTH SAN FRANCISCO, CA 94080-2861
(650) 745-8195
(650) 989-8408
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
91-2166828
CA
261QB0400X
Birthing Clinic/Center
Primary
259079
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NMW538
STATE LICENSE
CA
Enumeration date
07/14/2009
Last updated
06/29/2011
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