Healthcare Provider Details
I. General information
NPI: 1447987839
Provider Name (Legal Business Name): ULANDA MIHAIYU SANDERS IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/04/2022
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8217 BEVERLY BLVD STE 3
LOS ANGELES CA
90048-4534
US
IV. Provider business mailing address
5833 W 78TH PL
LOS ANGELES CA
90045-3153
US
V. Phone/Fax
- Phone: 310-754-5262
- Fax:
- Phone: 310-754-5262
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174N00000X |
| Taxonomy | Lactation Consultant (Non-RN) |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374J00000X |
| Taxonomy | Doula |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: