Organization
NEW NORTH NATAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVONNE D SMITH IBCLC (OWNER)
(626) 808-4131
Entity
Organization
Contact information
Practice address
200 E DEL MAR BLVD STE 126, PASADENA, CA 91105-2551
(626) 808-4131
(626) 657-8184
Mailing address
PO BOX 61281, PASADENA, CA 91116-7281
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700393709
NPI
—
Enumeration date
03/06/2023
Last updated
04/13/2024
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