MEDICARE: LACTATION AND NEWBORN CARE LLC

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)

General Provider Information

NPI Number	:	1326997412
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LACTATION AND NEWBORN CARE LLC

Provider Business Mailing Address
First Line	:	2135 VAN WICK ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90047-4644
Country	:	US
Telephone Number	:	323-250-9945
Fax Number	:

Provider Business Practice Location Address
First Line	:	2135 VAN WICK ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90047-4644
Country	:	US
Telephone Number	:	323-250-9945
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FLOR CARCAMO
Credential	:	IBCLC
Telephone Number	:	323-775-8729

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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