Individual
MALGORZATA RAJTAR-SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM, IBCLC
Contact information
Practice address
3355 COCHRAN ST STE 205, SIMI VALLEY, CA 93063-2500
(661) 347-8342
Mailing address
3355 COCHRAN ST STE 205, SIMI VALLEY, CA 93063-2500
(661) 347-8342
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
L-305466
CA
176B00000X
Midwife
Primary
LM724
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-305466
IBCLC
CA
01
—
LM724
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
01/05/2022
Last updated
12/21/2024
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