Organization
EARTHSIDE MATERNAL CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMEEKA HICKS RN (OWNER)
(818) 974-3993
Entity
Organization
Contact information
Practice address
14301 ADDISON ST APT 12, SHERMAN OAKS, CA 91423-1866
(818) 974-3993
Mailing address
14301 ADDISON ST APT 12, SHERMAN OAKS, CA 91423-1866
(818) 974-3993
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
163WM0102X
Maternal Newborn Registered Nurse
—
—
163WW0101X
Ambulatory Women's Health Care Registered Nurse
—
—
374J00000X
Doula
—
—
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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