Provider Demographics
NPI:1932408820
Name:SIEGEL, TOVA HINDA (RN, CNM)
Entity type:Individual
Prefix:MRS
First Name:TOVA
Middle Name:HINDA
Last Name:SIEGEL
Suffix:
Gender:F
Credentials:RN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1456 LIVONIA AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-3338
Mailing Address - Country:US
Mailing Address - Phone:310-556-1590
Mailing Address - Fax:310-943-2093
Practice Address - Street 1:1456 LIVONIA AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-3338
Practice Address - Country:US
Practice Address - Phone:310-556-1590
Practice Address - Fax:310-943-2093
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-18
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANMW 874367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife