Healthcare Provider Details

I. General information

NPI: 1609736297
Provider Name (Legal Business Name): LANA MIHAIYU, IBCLC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2025
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5833 W 78TH PL
LOS ANGELES CA
90045-3153
US

IV. Provider business mailing address

5833 W 78TH PL
LOS ANGELES CA
90045-3153
US

V. Phone/Fax

Practice location:
  • Phone: 310-692-1694
  • Fax:
Mailing address:
  • Phone: 310-692-1694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: ULANDA MIHAIYU SANDERS
Title or Position: OWNER, IBCLC
Credential: IBCLC
Phone: 310-692-1694