Provider Demographics
NPI:1588556468
Name:EHRLICH, MADELINE
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:
Last Name:EHRLICH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 DAHLIA AVE
Mailing Address - Street 2:
Mailing Address - City:CORONA DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92625-2105
Mailing Address - Country:US
Mailing Address - Phone:765-418-5285
Mailing Address - Fax:
Practice Address - Street 1:518 DAHLIA AVE
Practice Address - Street 2:
Practice Address - City:CORONA DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92625-2105
Practice Address - Country:US
Practice Address - Phone:765-418-5285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula