Provider Demographics
NPI:1669758652
Name:VOGEL, ELENA ROBIN (CD (DONA), IBCLC)
Entity type:Individual
Prefix:MS
First Name:ELENA
Middle Name:ROBIN
Last Name:VOGEL
Suffix:
Gender:F
Credentials:CD (DONA), IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1248 BARRY AVE
Mailing Address - Street 2:APT 7
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-1716
Mailing Address - Country:US
Mailing Address - Phone:310-889-8444
Mailing Address - Fax:
Practice Address - Street 1:1248 BARRY AVE
Practice Address - Street 2:APT 7
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-1716
Practice Address - Country:US
Practice Address - Phone:310-889-8444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-23
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN