Mrs. Taryn Lee Phanthanusorn
Lactation Consultant
23315 Via Bahia
Mission Viejo
, California 92691-2115
Mrs. Taryn Lee Phanthanusorn
Lactation Consultant
23315 Via Bahia
Mission Viejo
, California 92691-2115
(949) 677-7510
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About
Features
Specialties
- Lactation Consultant
Languages spoken
- English
Location
First Address
- Mrs. Taryn Lee Phanthanusorn
- 23315 Via Bahia
- Mission Viejo, CA
- Zip : 92691-2115
- Phone : (949) 677-7510
Second Address
- Mrs. Taryn Lee Phanthanusorn
- 23315 Via Bahia
- Mission Viejo, CA
- Zip : 92691-2115
- Phone : (949) 677-7510
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant | 11242387 | CA |
National Provider Identifier
| NPI | 1164812467 |
|---|---|
| Provider Name | Mrs. Taryn Lee Phanthanusorn |
| First Address | Mission Viejo, CA 92691-2115 |
| Second Address | Mission Viejo, CA 92691-2115 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/01/2015 |
| Last Update Date | 26/01/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.