Provider Demographics
NPI:1043904246
Name:WEST, LAUREN EDEN (DO)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:EDEN
Last Name:WEST
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:OFFICE OF GME, FAMILY MEDICINE PROGRAM
Mailing Address - Street 2:28062 BAXTER ROAD
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563
Mailing Address - Country:US
Mailing Address - Phone:951-704-1740
Mailing Address - Fax:
Practice Address - Street 1:OFFICE OF GME, FAMILY MEDICINE PROGRAM
Practice Address - Street 2:28062 BAXTER ROAD
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563
Practice Address - Country:US
Practice Address - Phone:951-704-1740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program