Healthcare Provider Details

I. General information

NPI: 1801658687
Provider Name (Legal Business Name): MEGAN PFEFFERKORN LMFT #158768
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2024
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1328 WESTWOOD BLVD STE 21
LOS ANGELES CA
90024-4931
US

IV. Provider business mailing address

1328 WESTWOOD BLVD STE 21
LOS ANGELES CA
90024-4931
US

V. Phone/Fax

Practice location:
  • Phone: 626-539-3053
  • Fax:
Mailing address:
  • Phone: 626-539-3053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number141963
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: