Healthcare Provider Details

I. General information

NPI: 1376220087
Provider Name (Legal Business Name): MEAGHAN ELIZABETH SNIDER LM, CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2023
Last Update Date: 07/04/2023
Certification Date: 07/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23564 CALABASAS RD STE 101
CALABASAS CA
91302-1336
US

IV. Provider business mailing address

4254 GREENWOOD ST
NEWBURY PARK CA
91320-5229
US

V. Phone/Fax

Practice location:
  • Phone: 805-630-3962
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberCPM23060249
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: