Provider Demographics
NPI:1447987839
Name:SANDERS, ULANDA MIHAIYU
Entity type:Individual
Prefix:
First Name:ULANDA
Middle Name:MIHAIYU
Last Name:SANDERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LANA
Other - Middle Name:
Other - Last Name:MIHAIYU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:IBCLC
Mailing Address - Street 1:5833 W 78TH PL
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-3153
Mailing Address - Country:US
Mailing Address - Phone:310-754-5262
Mailing Address - Fax:
Practice Address - Street 1:8217 BEVERLY BLVD STE 3
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-4534
Practice Address - Country:US
Practice Address - Phone:310-754-5262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-04
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA174400000X
374J00000X, 174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No174400000XOther Service ProvidersSpecialist
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty