Provider Demographics
NPI:1578235602
Name:SAKODA, LAUREN KAZUKO
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:KAZUKO
Last Name:SAKODA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3315 VIA LA SELVA
Mailing Address - Street 2:
Mailing Address - City:PALOS VERDES ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-1001
Mailing Address - Country:US
Mailing Address - Phone:310-984-9332
Mailing Address - Fax:
Practice Address - Street 1:1058 OLD REDWOOD HIGHWAY
Practice Address - Street 2:SUITE A
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-9494
Practice Address - Country:US
Practice Address - Phone:415-924-2444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-28
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist