Provider Demographics
NPI:1336933068
Name:WISDOMS BIRTHING SERVICES
Entity type:Organization
Organization Name:WISDOMS BIRTHING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:JEZREEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DE COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-817-6525
Mailing Address - Street 1:1355 N MENTOR AVE UNIT 41014
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91104-2425
Mailing Address - Country:US
Mailing Address - Phone:818-817-6525
Mailing Address - Fax:
Practice Address - Street 1:567 N OAKLAND AVE APT 1
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1185
Practice Address - Country:US
Practice Address - Phone:818-817-6525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No251E00000XAgenciesHome Health