Healthcare Provider Details

I. General information

NPI: 1538741681
Provider Name (Legal Business Name): MRS. LAUREN M BARRERA-PRICE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2021
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 GREAT AMERICA PKWY STE 320
SANTA CLARA CA
95054-1140
US

IV. Provider business mailing address

231 E ALESSANDRO BLVD STE A
RIVERSIDE CA
92508-6039
US

V. Phone/Fax

Practice location:
  • Phone: 323-205-7088
  • Fax:
Mailing address:
  • Phone: 951-215-6462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number157886
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: