Healthcare Provider Details

I. General information

NPI: 1780211086
Provider Name (Legal Business Name): MEGAN NICOLE RAHMAN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2020
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17742 BEACH BLVD STE 360
HUNTINGTON BEACH CA
92647-6854
US

IV. Provider business mailing address

17742 BEACH BLVD STE 360
HUNTINGTON BEACH CA
92647-6854
US

V. Phone/Fax

Practice location:
  • Phone: 714-848-0868
  • Fax: 714-842-0444
Mailing address:
  • Phone: 714-848-0868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number20A21054
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number20A21054
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: