Healthcare Provider Details

I. General information

NPI: 1851216881
Provider Name (Legal Business Name): LAUREN MOCK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 ORANGE AVE
LOS ALTOS CA
94022-3949
US

IV. Provider business mailing address

715 ORANGE AVE
LOS ALTOS CA
94022-3949
US

V. Phone/Fax

Practice location:
  • Phone: 650-224-1040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: