Provider Demographics
NPI:1568761492
Name:AHARONI, MALIA R (ACHI,DONA(CD), IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:MALIA
Middle Name:R
Last Name:AHARONI
Suffix:
Gender:F
Credentials:ACHI,DONA(CD), IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5324 BEEMAN AVE
Mailing Address - Street 2:MALIA AHARONI
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607
Mailing Address - Country:US
Mailing Address - Phone:619-203-7875
Mailing Address - Fax:
Practice Address - Street 1:13371 VENTURA BLVD
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-3912
Practice Address - Country:US
Practice Address - Phone:818-850-2478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
CA11118380174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula