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

Mrs. Taryn Lee Phanthanusorn, IBCLC

Individual provider Lactation Consultant (Non-RN) · NPI 1164812467

Mrs. Taryn Lee Phanthanusorn, IBCLC is a Lactation Consultant (Non-RN) in Mission Viejo, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

23315 Via Bahia
Mission Viejo, CA 92691-2115
Phone: (949) 677-7510
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lactation Consultant (Non-RN) (primary) Taxonomy 174N00000X · Licence 11242387 (CA)

Record details

NPI number1164812467
Entity typeIndividual (Type 1)
GenderFemale
Credentials IBCLC
Sole proprietorNo
NPI enumeratedJanuary 26, 2015
Last updated in NPPESJanuary 26, 2015

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