Provider Demographics
NPI:1003400987
Name:PASADENA BREASTFEEDING CENTER LLC
Entity Type:Organization
Organization Name:PASADENA BREASTFEEDING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LACTATION CONSULTANT, EDUCATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:TENORIO
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC, CLC
Authorized Official - Phone:562-440-4748
Mailing Address - Street 1:25438 HYACINTH ST
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-3128
Mailing Address - Country:US
Mailing Address - Phone:562-440-4748
Mailing Address - Fax:
Practice Address - Street 1:25438 HYACINTH ST
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-3128
Practice Address - Country:US
Practice Address - Phone:562-440-4748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty