NPIMap

Organization Active NPI

Imma Lactation, LLC

  • Lactation Consultant (Non-RN)
  • Los Angeles, CA
National Provider Identifier
1619685583
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Legal business name
IMMA LACTATION, LLC
Practice address
537 N Las Palmas Ave
Los Angeles, CA 90004-1017
Phone
(323) 364-4397
NPI assigned
Nov 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
Sarah Siebold, IBCLCNPI 1164061206
Title
Owner/Ibclc
Phone
(323) 364-4397

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193400000X SINGLE SPECIALTY GROUP 174N00000X Primary

Addresses

Primary practice location

537 N Las Palmas Ave
Los Angeles, CA 90004-1017

Mailing address

537 N Las Palmas Ave
Los Angeles, CA 90004-1017
Phone (323) 364-4397

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sarah@immala.com

National Provider Directory

National Provider Directory

Locations

8217 Beverly Blvd
Ste 3
Los Angeles, CA 90048
Phone (310) 754-5262

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1619685583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 N LAS PALMAS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041017",
            "telephone_number": "323-364-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 N LAS PALMAS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041017",
            "telephone_number": "323-364-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMA LACTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "SIEBOLD",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER/IBCLC",
        "authorized_official_telephone_number": "323-364-4397",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah@immala.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "537 N Las Palmas Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900041017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.