Andrea Pongo
Midwife
3458 Loma Vista Rd
Ventura
, California 93003-3026
(805) 231-6745
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About
Features
Specialties
- Midwife
Languages spoken
- English
Location
First Address
- Andrea Pongo
- 3435 Waco Ave
- Simi Valley, CA
- Zip : 93063-1227
- Phone : (805) 231-6745
Second Address
- Andrea Pongo
- 3458 Loma Vista Rd
- Ventura, CA
- Zip : 93003-3026
- Phone : (805) 231-6745
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 176B00000X | Midwife | 567 | CA |
National Provider Identifier
| NPI | 1043773369 |
|---|---|
| Provider Name | Andrea Pongo |
| First Address | Simi Valley, CA 93063-1227 |
| Second Address | Ventura, CA 93003-3026 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/04/2019 |
| Last Update Date | 12/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.