Healthcare Provider Details

I. General information

NPI: 1861301343
Provider Name (Legal Business Name): MEGAN ASUNCION
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6350 MYSTIC CANYON DR
CHINO HILLS CA
91709-4516
US

IV. Provider business mailing address

9355 E STOCKTON BLVD STE 230
ELK GROVE CA
95624-9526
US

V. Phone/Fax

Practice location:
  • Phone: 909-591-0766
  • Fax:
Mailing address:
  • Phone: 916-422-0571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number27110
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: