Provider Demographics
NPI:1043060478
Name:TITELMAN, LAUREN ASHLEY
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ASHLEY
Last Name:TITELMAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2941 COCHRAN ST STE 3
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-2789
Mailing Address - Country:US
Mailing Address - Phone:805-842-4453
Mailing Address - Fax:805-915-0108
Practice Address - Street 1:2941 COCHRAN ST STE 3
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-2789
Practice Address - Country:US
Practice Address - Phone:805-842-4453
Practice Address - Fax:805-915-0108
Is Sole Proprietor?:No
Enumeration Date:2024-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9095237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist