Phanthanusorn, Taryn Lee

Phanthanusorn, Taryn Lee is an individual health care provider with primary practice located at 23315 Via Bahia , Mission Viejo CA 92691-2115. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Phanthanusorn, Taryn Lee can be contacted via phone (949) 677-7510.

Contact Information

Primary practice address
23315 Via Bahia Mission Viejo CA 92691-2115
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X 11242387 California

Profile Details

NPI number 1164812467
LBN Legal business name Phanthanusorn, Taryn Lee
Credentials IBCLC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2015
Last updated Jan 26th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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