Healthcare Provider Details

I. General information

NPI: 1033527544
Provider Name (Legal Business Name): MEGAN ELAINE BORJAN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEGAN ELAINE HARRIS

II. Dates (important events)

Enumeration Date: 07/28/2014
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4850 PEDLEY RD
JURUPA VALLEY CA
92509-3966
US

IV. Provider business mailing address

4850 PEDLEY RD
JURUPA VALLEY CA
92509-3966
US

V. Phone/Fax

Practice location:
  • Phone: 951-360-4100
  • Fax:
Mailing address:
  • Phone: 951-360-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40798
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: