Healthcare Provider Details

I. General information

NPI: 1508447871
Provider Name (Legal Business Name): LAUREN HERNANDEZ-HINRICHS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN HINRICHS

II. Dates (important events)

Enumeration Date: 04/19/2021
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12440 FIRESTONE BLVD STE 2001
NORWALK CA
90650-4374
US

IV. Provider business mailing address

100 N PACIFIC COAST HWY STE 1400
EL SEGUNDO CA
90245-5602
US

V. Phone/Fax

Practice location:
  • Phone: 562-245-4130
  • Fax: 855-568-2494
Mailing address:
  • Phone: 310-856-0800
  • Fax: 855-568-2494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberRBT-22-243679
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: