Provider Demographics
NPI:1386992428
Name:GRACEFULL BIRTHING INC
Entity type:Organization
Organization Name:GRACEFULL BIRTHING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE AND FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BACHNER
Authorized Official - Suffix:
Authorized Official - Credentials:LM #215, CPM, LAC
Authorized Official - Phone:323-963-3868
Mailing Address - Street 1:2815 W SUNSET BLVD
Mailing Address - Street 2:#105
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-2167
Mailing Address - Country:US
Mailing Address - Phone:323-963-3868
Mailing Address - Fax:323-430-8054
Practice Address - Street 1:2815 W SUNSET BLVD
Practice Address - Street 2:#105
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-2167
Practice Address - Country:US
Practice Address - Phone:978-544-3551
Practice Address - Fax:480-275-3707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-21
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA215176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty