Healthcare Provider Details

I. General information

NPI: 1952904021
Provider Name (Legal Business Name): ALISON CECILIA MEAGHER MS, RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2020
Last Update Date: 11/19/2020
Certification Date: 11/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10670 JOHN J HOPKINS DR
SAN DIEGO CA
92121-1120
US

IV. Provider business mailing address

6422 CAYENNE LN
CARLSBAD CA
92009-4301
US

V. Phone/Fax

Practice location:
  • Phone: 800-727-4777
  • Fax:
Mailing address:
  • Phone: 760-271-5022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86093240
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: