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

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator
Group: 193200000X MULTI-SPECIALTY GROUP
171M00000X
Lactation Consultant (Non-RN)
Group: 193200000X MULTI-SPECIALTY GROUP
174N00000X
Doula
Group: 193200000X MULTI-SPECIALTY GROUP
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

All providers in Panorama City, CA · Doula in California

Sources for this page

Verify at the official NPI Registry.