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NPI Code Detail

MEDICARE: LAUREN MCDANNEL

MEDICARE:   LAUREN  MCDANNEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-16-24305CA

General Provider Information

NPI Number : 1265977250
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN MCDANNEL
Provider Business Mailing Address
First Line : 16782 VON KARMAN AVE STE 11
Second Line :
City : IRVINE
State : CA
Zip : 92606-2417
Country : US
Telephone Number : 909-649-6517
Fax Number : 619-278-0885
Provider Business Practice Location Address
First Line : 5333 MISSION CENTER RD STE 110
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-1347
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2016
Last Update Date : 03/16/2026

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Directions to “ LAUREN MCDANNEL ” Practice Location

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