Healthcare Provider Details

I. General information

NPI: 1972468270
Provider Name (Legal Business Name): MEGAN EICHNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 BLACKROCK DR
SACRAMENTO CA
95835-1250
US

IV. Provider business mailing address

4221 STRATHMORE WAY
NORTH HIGHLANDS CA
95660-2842
US

V. Phone/Fax

Practice location:
  • Phone: 916-928-5353
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: