MEDICARE: SABRINA VANESSA POWERS 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-316579	CA
2	374J00000X	Doula		CA

General Provider Information

NPI Number	:	1881401800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA VANESSA POWERS IBCLC

Provider Business Mailing Address
First Line	:	1241 CITRUS DR
Second Line	:
City	:	LA HABRA
State	:	CA
Zip	:	90631-2651
Country	:	US
Telephone Number	:	323-500-3791
Fax Number	:

Provider Business Practice Location Address
First Line	:	1241 CITRUS DR
Second Line	:
City	:	LA HABRA
State	:	CA
Zip	:	90631-2651
Country	:	US
Telephone Number	:	323-500-3791
Fax Number	:

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

Provider Enumeration Date	:	12/12/2024
Last Update Date	:	03/16/2026

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