Provider Demographics
NPI:1386988509
Name:ART OF BIRTHING CENTER
Entity type:Organization
Organization Name:ART OF BIRTHING CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:RAVEL
Authorized Official - Last Name:TINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN CPM LM
Authorized Official - Phone:424-835-4186
Mailing Address - Street 1:3013 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-5548
Mailing Address - Country:US
Mailing Address - Phone:424-835-4186
Mailing Address - Fax:310-421-1414
Practice Address - Street 1:3013 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:MARINA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90292-5548
Practice Address - Country:US
Practice Address - Phone:310-990-2662
Practice Address - Fax:310-577-8091
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ART OF NURSING CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-11-15
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing