Healthcare Provider Details

I. General information

NPI: 1154219368
Provider Name (Legal Business Name): LAUREN PILAR BARTSCH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11425 EL CAMINO REAL
SAN DIEGO CA
92130-2045
US

IV. Provider business mailing address

7355 PRINCETON AVE
LA MESA CA
91942-8717
US

V. Phone/Fax

Practice location:
  • Phone: 858-794-6363
  • Fax: 858-794-6363
Mailing address:
  • Phone: 619-838-3744
  • Fax: 619-848-7478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95033604
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: