Origin Pregnancy Boutique

LBN: Origin Pregnancy Boutique
Origin Pregnancy Boutique is an health care organization with primary practice located at 45040 Main Street B, Mendocino CA 95460. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Sonography, which is considered as the primary health care specialty. Origin Pregnancy Boutique can be contacted via phone (707) 937-1477, or through Davis, Amy via phone (707) 937-1477.

Contact Information

Primary practice address
45040 Main Street B Mendocino CA 95460
Phone: (707) 937-1477
Fax: (707) 937-1480
Website:
Map and Directions
Authorized official contact:
Name: Davis, Amy Registered Diagnostic Medical Sonographer (RDMS)
Phone: (707) 937-1477

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Sonography 2471S1302X RDMS81478 California

Profile Details

NPI number 1255661583
LBN Legal business name Origin Pregnancy Boutique
DBA Doing business as
Authorized official Davis, Amy Registered Diagnostic Medical Sonographer (RDMS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2010
Last updated Jan 8th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers