Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colette Wiseman, MD, Inc

Organization Lactation Consultant (Non-RN) · NPI 1871471490

Colette Wiseman, MD, Inc is a Lactation Consultant (Non-RN) in Los Angeles, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

744 N Kenter Ave
Los Angeles, CA 90049-5105
Phone: (424) 234-6461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Lactation Consultant (Non-RN) Taxonomy 174N00000X
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X

Record details

NPI number1871471490
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Colette Wiseman — President · (424) 234-6461
NPI enumeratedAugust 22, 2025
Last updated in NPPESAugust 22, 2025
Certification dateAugust 16, 2025
Mailing address11693 San Vicente Blvd # 445, Los Angeles, CA 90049-5105

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