Provider Demographics
NPI:1952160947
Name:INFANT ASSIST INC.
Entity Type:Organization
Organization Name:INFANT ASSIST INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:714-308-5700
Mailing Address - Street 1:36 RITZ COVE DR
Mailing Address - Street 2:
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-4227
Mailing Address - Country:US
Mailing Address - Phone:714-308-5700
Mailing Address - Fax:
Practice Address - Street 1:36 RITZ COVE DR
Practice Address - Street 2:
Practice Address - City:DANA POINT
Practice Address - State:CA
Practice Address - Zip Code:92629-4227
Practice Address - Country:US
Practice Address - Phone:714-308-5700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty