Healthcare Provider Details

I. General information

NPI: 1669825568
Provider Name (Legal Business Name): MEAGHAN FRANCES DEFRANCESCO ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEAGHAN FRANCES BEAUDOIN ATC

II. Dates (important events)

Enumeration Date: 07/15/2016
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N STATE COLLEGE BLVD
FULLERTON CA
92831-3599
US

IV. Provider business mailing address

800 N STATE COLLEGE BLVD
FULLERTON CA
92831-3599
US

V. Phone/Fax

Practice location:
  • Phone: 805-207-0454
  • Fax:
Mailing address:
  • Phone: 805-207-0454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: