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DIANA STEPHANIE CLARK IBCLC
NPI 1003630666
Lactation Consultant, Non-RN in Azusa, CA

Active since November 11, 2024
28 MOUNTAIN LAUREL WAY, AZUSA, CA 91702(626) 222-4614 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diana Stephanie Clark Ibclc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANA STEPHANIE CLARK IBCLC (NPI 1003630666) is an individual lactation consultant, non-rn provider in Azusa, California, licensed in California (11137880) and active in the NPI registry since November 2024. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1003630666
Entity TypeIndividualFemale
Primary Taxonomy174N00000X
Provider Legal NameDIANA STEPHANIE CLARKCredential: IBCLC
Location Address28 MOUNTAIN LAUREL WAYAzusa, CA 91702-6264
Mailing Address28 Mountain Laurel WayAzusa, CA 91702-6264 · (626) 222-4614
Phone(626) 222-4614
Sole ProprietorNo
Enumeration DateNovember 11, 2024
NPPES CertifiedNovember 11, 2024
✔ NPI 1003630666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLactation Consultant, Non-RNOther Service Providers
Taxonomy Code174N00000X
License✔ Licensed in CA · 11137880
Definition
An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
28 MOUNTAIN LAUREL WAY, Azusa, CA 91702
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Other Names 1

Former Name (1)Diana Stephanie Orellana Ibclc

Secondary Practice Location 1

Location 11621 W Carroll AveChicago, IL 60612-2501 · Phone (888) 510-0059

Other Identifiers 1

Other1144749391IL · The Lactation Network

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSIE ORELLANA IBCLC
Lactation Consultant, Non-RN
28 MOUNTAIN LAUREL WAY
AZUSA, CA 91702
Los Angeles County (626) 648-0964

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diana Clark's NPI number?

The NPI number for Diana Clark is 1003630666. It was assigned to this individual provider in the NPPES registry on November 11, 2024. The provider is also known as Diana Stephanie Orellana Ibclc.

Where is Diana Clark located?

Diana Clark practices at 28 Mountain Laurel Way, Azusa, CA 91702. The listed phone number is (626) 222-4614.

What is Diana Clark's specialty?

The primary specialty registered for this NPI is Lactation Consultant, Non-RN with taxonomy code 174N00000X.

When was this NPI record last updated?

The NPPES record for Diana Clark was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.