Provider Demographics
NPI:1447979927
Name:SCHIMMEL, LAUREN ROSE (PT,DPT)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ROSE
Last Name:SCHIMMEL
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3015 GLENDALE BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-1836
Mailing Address - Country:US
Mailing Address - Phone:213-364-0193
Mailing Address - Fax:
Practice Address - Street 1:RANCHO LOS AMIGOS REHABILITATION CENTER
Practice Address - Street 2:7601 IMPERIAL HWY
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242
Practice Address - Country:US
Practice Address - Phone:562-385-7111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA301361225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist