Healthcare Provider Details

I. General information

NPI: 1780931162
Provider Name (Legal Business Name): LAUREN KERSCHER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2012
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S SEPULVEDA BLVD STE 205
MANHATTAN BEACH CA
90266-6876
US

IV. Provider business mailing address

18911 PATRONELLA AVE
TORRANCE CA
90504-5816
US

V. Phone/Fax

Practice location:
  • Phone: 310-546-1188
  • Fax:
Mailing address:
  • Phone: 949-697-8032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA22381
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: