Healthcare Provider Details

I. General information

NPI: 1821710187
Provider Name (Legal Business Name): ASHLEY SHAPIRO RN, BSN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2022
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25411 CABOT RD STE 112
LAGUNA HILLS CA
92653-5517
US

IV. Provider business mailing address

25411 CABOT RD STE 112
LAGUNA HILLS CA
92653-5517
US

V. Phone/Fax

Practice location:
  • Phone: 949-329-3595
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-305732
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: