Heather M Ayala, RD
Individual provider Active NPI Doula · Lake Forest, CA
NPI 1770085235 · NPPES record last updated Feb 2, 2023
Key facts
- NPI
- 1770085235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 25552 Dartmouth Cir
Lake Forest, CA 92630-5009 - Phone
- (714) 421-6407
- NPI assigned
- Mar 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Doula | 374J00000X | Yes |
Addresses
Primary practice location
25552 Dartmouth Cir
Lake Forest, CA 92630-5009
Mailing address
25552 Dartmouth Cir
Lake Forest, CA 92630-5009
Phone (714) 421-6407
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.