San Diego Breastfeeding Mama Lactation Services LLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-61794 Issued in CA

Legal business name

SAN DIEGO BREASTFEEDING MAMA LACTATION SERVICES LLC

Practice address

4121 Blackton Dr
La Mesa, CA 91941-7508

Phone

(619) 733-4411

NPI assigned

Mar 19, 2015

Last updated

Mar 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anna Choi, IBCLCNPI 1619353778

Title

Owner

Phone

(619) 733-4411

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, and the practitioner matching its NPPES authorized official.

• Anna Choi, IBCLC

  • Lactation Consultant (Non-RN)
  • La Mesa, CA
  • NPI 1619353778

  Lactation Consultant, Non-RN

  NPD (past) Authorized official

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1780078592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 BLACKTON DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919417508",
            "telephone_number": "619-733-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 BLACKTON DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919417508",
            "telephone_number": "619-733-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO BREASTFEEDING MAMA LACTATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-733-4411",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L-61794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lactation Consultant (Non-RN) in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Lactation Consultant (Non-RN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.