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NPI Code Detail

MEDICARE: DR. LAUREN EALES PHD

MEDICARE:  DR. LAUREN  EALES  PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY36360CA

General Provider Information

NPI Number : 1699637157
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREN EALES PHD
Provider Business Mailing Address
First Line : 760 WESTWOOD PLZ # A7-370
Second Line :
City : LOS ANGELES
State : CA
Zip : 90024-5055
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 760 WESTWOOD PLZ # A7-370
Second Line :
City : LOS ANGELES
State : CA
Zip : 90024-5055
Country : US
Telephone Number : 805-665-7397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ DR. LAUREN EALES PHD” Practice Location

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