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Contact Information

TATIANA KOONTZ, LM, CPM
3830 VALLEY CENTRE DR # 705-246
SAN DIEGO, CA92130
 Phone: 858-221-6040
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Midwife

176B00000X
 

Doula

374J00000X
Indicates primary specialty

NPI Profile & details for TATIANA KOONTZ · (Female)

NPI # 1316347883
Status Active
Credentials LM, CPM
Entity Individual
Enumeration date 09/02/2014
Last updated 03/28/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 559
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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