Janet Acosta, IBCLC
Individual provider Active NPI Lactation Consultant (Non-RN) · Covina, CA
NPI 1154774438 · NPPES record last updated Jul 21, 2016
Key facts
- NPI
- 1154774438
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Non-RN) 174N00000X
- License
- L-19108 (CA)
- Practice address
- 4630 N Vincent Ave
Covina, CA 91722-2347 - Phone
- (626) 665-4917
- NPI assigned
- Jul 21, 2016
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-19108 | CA | MD | Lactation Consultant (Non-RN) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-19108 | CA | Yes |
Addresses
Primary practice location
4630 N Vincent Ave
Covina, CA 91722-2347
Mailing address
4630 N Vincent Ave
Covina, CA 91722-2347
Phone (626) 665-4917
Other providers in Covina, CA
- Nancy Aceves
- Valerie Ann Aceves
- Ashley Acosta
- Emily Acosta
- Isabella Maria Acosta
- Joanna Acosta
- Alexis Yadir Acuna
- Eveina Rose Adams
- Gloria Adams
- Jaydin Tianah Adams
All providers in Covina, CA · Lactation Consultant (Non-RN) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2016. 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.