Provider Demographics
NPI:1215732938
Name:SPIEGEL, SIMONA
Entity type:Individual
Prefix:
First Name:SIMONA
Middle Name:
Last Name:SPIEGEL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 WALTEN WAY
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CA
Mailing Address - Zip Code:95492-8038
Mailing Address - Country:US
Mailing Address - Phone:276-492-6521
Mailing Address - Fax:
Practice Address - Street 1:2961 ASHBY AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2321
Practice Address - Country:US
Practice Address - Phone:276-492-6521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula