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NPI Code Detail

MEDICARE: MEGAN HENBERGER

MEDICARE: MEGAN HENBERGER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548921729
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN HENBERGER
Provider Business Mailing Address
First Line : 25081 LEUCADIA ST UNIT G
Second Line :
City : LAGUNA NIGUEL
State : CA
Zip : 92677-7586
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 18200 YORBA LINDA BLVD STE 250
Second Line :
City : YORBA LINDA
State : CA
Zip : 92886-4044
Country : US
Telephone Number : 714-577-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2022
Last Update Date : 08/01/2023

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Directions to “ MEGAN HENBERGER ” Practice Location

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