Healthcare Provider Details

I. General information

NPI: 1750140562
Provider Name (Legal Business Name): LAUREN ASSAYAG DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2024
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 E ANAHEIM ST STE 100
LONG BEACH CA
90813-4051
US

IV. Provider business mailing address

1500 E ANAHEIM ST STE 100
LONG BEACH CA
90813-4051
US

V. Phone/Fax

Practice location:
  • Phone: 844-822-4646
  • Fax: 562-216-6198
Mailing address:
  • Phone: 844-822-4646
  • Fax: 562-216-6198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2023130199
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: