Provider Demographics
NPI:1467145607
Name:CHAYIL BIRTHING LLC
Entity type:Organization
Organization Name:CHAYIL BIRTHING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FULL SPECTRUM DOULA
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNETTA
Authorized Official - Middle Name:DARCEL
Authorized Official - Last Name:GILLIAM
Authorized Official - Suffix:
Authorized Official - Credentials:FULL SPECTRUM DOULA
Authorized Official - Phone:323-738-1889
Mailing Address - Street 1:1679 E BERINGER DR
Mailing Address - Street 2:
Mailing Address - City:SAN JACINTO
Mailing Address - State:CA
Mailing Address - Zip Code:92583-5757
Mailing Address - Country:US
Mailing Address - Phone:323-738-1889
Mailing Address - Fax:
Practice Address - Street 1:1679 E BERINGER DR
Practice Address - Street 2:
Practice Address - City:SAN JACINTO
Practice Address - State:CA
Practice Address - Zip Code:92583-5757
Practice Address - Country:US
Practice Address - Phone:323-738-1889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-01
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing