Provider Demographics
NPI:1336951318
Name:PENA TEMPELTON, LORELEI (DOULA)
Entity type:Individual
Prefix:
First Name:LORELEI
Middle Name:
Last Name:PENA TEMPELTON
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3610 CHEROKEE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-4419
Mailing Address - Country:US
Mailing Address - Phone:858-205-9811
Mailing Address - Fax:
Practice Address - Street 1:12858 FRANCINE TER
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-4126
Practice Address - Country:US
Practice Address - Phone:858-205-9811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-25
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula