MEDICARE: JULIA ISABEL ARAIZA IBCLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174N00000X	Lactation Consultant (Non-RN)	L-307143	CA

General Provider Information

NPI Number	:	1023872447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA ISABEL ARAIZA IBCLC

Provider Business Mailing Address
First Line	:	5969 S SAN PEDRO ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90003-1339
Country	:	US
Telephone Number	:	323-214-5280
Fax Number	:

Provider Business Practice Location Address
First Line	:	5969 S SAN PEDRO ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90003-1339
Country	:	US
Telephone Number	:	323-214-5280
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2024
Last Update Date	:	02/07/2024

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