Provider Demographics
NPI:1558244095
Name:MODERN DAY POPPINS
Entity type:Organization
Organization Name:MODERN DAY POPPINS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:WEBER
Authorized Official - Suffix:
Authorized Official - Credentials:DOULA
Authorized Official - Phone:209-658-7446
Mailing Address - Street 1:2501 W REDONDO BEACH BLVD APT 105
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90249-4846
Mailing Address - Country:US
Mailing Address - Phone:209-658-7446
Mailing Address - Fax:209-658-7446
Practice Address - Street 1:2501 W REDONDO BEACH BLVD APT 105
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90249-4846
Practice Address - Country:US
Practice Address - Phone:209-658-7446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty