Healthcare Provider Details

I. General information

NPI: 1568761492
Provider Name (Legal Business Name): MALIA R. AHARONI ACHI,DONA(CD), IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2011
Last Update Date: 11/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13371 VENTURA BLVD
SHERMAN OAKS CA
91423-3912
US

IV. Provider business mailing address

5324 BEEMAN AVE MALIA AHARONI
VALLEY VILLAGE CA
91607
US

V. Phone/Fax

Practice location:
  • Phone: 818-850-2478
  • Fax:
Mailing address:
  • Phone: 619-203-7875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number11118380
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: