Healthcare Provider Details

I. General information

NPI: 1518824945
Provider Name (Legal Business Name): LAUREN TODOROFF MA, PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2540 GREEN VALLEY RD
RESCUE CA
95672-9415
US

IV. Provider business mailing address

9025 BRONZEWING PL
EL DORADO HILLS CA
95762-5291
US

V. Phone/Fax

Practice location:
  • Phone: 510-366-7805
  • Fax:
Mailing address:
  • Phone: 510-366-7805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: