Healthcare Provider Details

I. General information

NPI: 1871074237
Provider Name (Legal Business Name): LAUREN SCHICK PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN SCHICK

II. Dates (important events)

Enumeration Date: 08/23/2018
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19451 WYANDOTTE ST
RESEDA CA
91335-3518
US

IV. Provider business mailing address

1229 19TH ST APT A
SANTA MONICA CA
90404-1238
US

V. Phone/Fax

Practice location:
  • Phone: 818-885-6244
  • Fax:
Mailing address:
  • Phone: 619-962-5482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number19053
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: