Sovereigndarity Laboration Group, LLC

Primary specialty

DoulaTaxonomy code 374J00000X

Legal business name

SOVEREIGNDARITY LABORATION GROUP, LLC

Practice address

14521 Birchwood CT
Sylmar, CA 91342-1469

Phone

(818) 903-4015

NPI assigned

May 22, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Latrice MatthewsNPI 1447957063

Title

Owner

Phone

(818) 903-4015

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latrice Matthews

  • Doula
  • Granada Hills, CA
  • NPI 1447957063
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685750400000",
    "number": "1659063402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18017 CHATSWORTH ST # 255",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445608",
            "telephone_number": "818-903-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14521 BIRCHWOOD CT",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421469",
            "telephone_number": "818-903-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGNDARITY LABORATION GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-06-03",
        "certification_date": "2023-06-03",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "LATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-903-4015",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Sohyun Song
• Dyanna Soto
• Elizabeth Soto
• Tara Elizabeth Soto
• Erik Arthur Souverein, MD
• Kathleen Mary Speer
• Jaclyn Colleen Spiegel, MD
• Tawee Sridis
• Star View Behavioral Health, Inc.
• Jacquelyn Stawinski, BCBA

• Doula in Sylmar, CA
• Providers in Sylmar, CA by specialty
• Doula in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.