MEDICARE: LAUREN MEEPOS MD

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
1	208000000X	Pediatrics Physician	A160059	CA

General Provider Information

NPI Number	:	1518483460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN MEEPOS MD

Provider Business Mailing Address
First Line	:	13120 PONTOON PL
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-3634
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8907 WILSHIRE BLVD STE 250
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2014
Country	:	US
Telephone Number	:	310-247-8687
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2017
Last Update Date	:	06/30/2021

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