Healthcare Provider Details

I. General information

NPI: 1891936373
Provider Name (Legal Business Name): LAUREN A. MILES MS CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2009
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21380 CENTRE POINTE PKWY
SANTA CLANTA CA
91350-2948
US

IV. Provider business mailing address

21380 CENTRE POINTE PKWY
SANTA CLANTA CA
91350-2948
US

V. Phone/Fax

Practice location:
  • Phone: 661-259-0033
  • Fax: 661-254-8653
Mailing address:
  • Phone: 661-259-0033
  • Fax: 661-254-8653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberRPE#5713
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: