Ancestral Lactation LLC
Organization Active NPI Doula · Panorama City, CA
NPI 1871370569 · NPPES record last updated Sep 14, 2023
Key facts
- NPI
- 1871370569
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Doula 374J00000X
- Legal business name
- ANCESTRAL LACTATION LLC
- Practice address
- 14621 Van Nuys PL
Panorama City, CA 91402-1024 - Phone
- (818) 747-4292
- NPI assigned
- Sep 14, 2023
- Organization subpart
- No
Authorized official
- Name
- Mireya Gonzalez, MPH, IBCLC
- Title
- Executive Director
- Phone
- (818) 747-4292
Practitioners 1
-
Mireya Gonzalez, IBCLC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator |
171M00000X | |||
| Lactation Consultant (Non-RN) |
174N00000X | |||
| Doula |
374J00000X | Yes |
Addresses
Primary practice location
14621 Van Nuys PL
Panorama City, CA 91402-1024
Mailing address
14621 Van Nuys PL
Panorama City, CA 91402-1024
Phone (818) 747-4292
Other providers in Panorama City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 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.