Provider Demographics
NPI:1962292763
Name:BASS, LAUREN NGA (MPH, MSW INTERN)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:NGA
Last Name:BASS
Suffix:
Gender:
Credentials:MPH, MSW INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23637 NEWHALL AVE APT 210
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91321-4626
Mailing Address - Country:US
Mailing Address - Phone:424-453-6873
Mailing Address - Fax:
Practice Address - Street 1:23637 NEWHALL AVE APT 210
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91321-4626
Practice Address - Country:US
Practice Address - Phone:424-453-6873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator