MEDICARE: LACTATION MEDICAL SERVICES PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	163WL0100X	Lactation Consultant (Registered Nurse)
2	2083P0901X	Public Health & General Preventive Medicine Physician
3	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1063389989
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LACTATION MEDICAL SERVICES PC

Provider Business Mailing Address
First Line	:	2748 PACIFIC COAST HWY # 1055
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90505-7002
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 SANTA BELLA RD.
Second Line	:
City	:	ROLLING HILLS ESTATES
State	:	CA
Zip	:	90274
Country	:	US
Telephone Number	:	424-209-8390
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANDREA LUBIN
Credential	:
Telephone Number	:	424-209-8390

Provider Enumeration Date	:	10/23/2025
Last Update Date	:	03/12/2026

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