MEDICARE: ACCESSIBLE LACTATION NUTRITION AND DIETETIC SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174N00000X	Lactation Consultant (Non-RN)
2	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1598632226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESSIBLE LACTATION NUTRITION AND DIETETIC SERVICES LLC

Provider Business Mailing Address
First Line	:	5612 N FRESNO ST STE 108
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93710-6182
Country	:	US
Telephone Number	:	559-418-0241
Fax Number	:	559-550-0462

Provider Business Practice Location Address
First Line	:	5612 N FRESNO ST STE 108
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93710-6182
Country	:	US
Telephone Number	:	559-418-0241
Fax Number	:	559-550-0462

Authorized Official
Title or Position	:	OWNER DIETITIAN
Name	:	CYNTHIA SUSANA TOVAR
Credential	:	RD, IBCLC
Telephone Number	:	559-213-6761

Provider Enumeration Date	:	10/18/2025
Last Update Date	:	10/26/2025

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