Healthcare Provider Details

I. General information

NPI: 1710341193
Provider Name (Legal Business Name): HEALTHY HORIZONS BREASTFEEDING CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2016
Last Update Date: 04/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1432 BURLINGAME AVE
BURLINGAME CA
94010-4111
US

IV. Provider business mailing address

720 HOWARD AVE
BURLINGAME CA
94010-3005
US

V. Phone/Fax

Practice location:
  • Phone: 650-347-6455
  • Fax:
Mailing address:
  • Phone: 650-579-2726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number196-13217
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1881988921
License Number StateCA

VIII. Authorized Official

Name: SHEILA JANAKOS
Title or Position: CEO/FOUNDER
Credential: IBCLC
Phone: 650-347-6455