Search › California › 176B00000X
Anissa Cornelius, LM, CPM, IBCLC
NPI 1093067274 · on the registry since 2012 · sole proprietor
Practice
- Address
- 4545 Fanuel St
San Diego, CA 92109 - Phone
- (858) 900-2004
- Organisation at this address
- Tourmaline Birth And Wellness Collective
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Additional practice sites
- 8550 Gold Coast Dr, San Diego, CA
Registry record
- Primary taxonomy
- 176B00000X
176B00000X
- Also registered as
- 174N00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California