Healthcare Provider Details

I. General information

NPI: 1992616122
Provider Name (Legal Business Name): MEGHAN M DURON AGACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 E HARDY ST
INGLEWOOD CA
90301-4011
US

IV. Provider business mailing address

429 34TH ST
MANHATTAN BEACH CA
90266-3307
US

V. Phone/Fax

Practice location:
  • Phone: 310-680-6850
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number95025608
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: