Provider Demographics
NPI:1235950759
Name:FIRST LOVE MIDWIFERY
Entity type:Organization
Organization Name:FIRST LOVE MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:RIEGO CATBAGAN
Authorized Official - Last Name:BONGCARON
Authorized Official - Suffix:
Authorized Official - Credentials:LM
Authorized Official - Phone:209-915-9345
Mailing Address - Street 1:12 ASTER LN
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90221-3823
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12 ASTER LN
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90221-3823
Practice Address - Country:US
Practice Address - Phone:209-915-9345
Practice Address - Fax:213-603-9045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty