Healthcare Provider Details

I. General information

NPI: 1093628505
Provider Name (Legal Business Name): MEGAN ELIZABETH SARTIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58036 EL DORADO DR
YUCCA VALLEY CA
92284-6237
US

IV. Provider business mailing address

39249 LEOPARD ST STE 107
PALM DESERT CA
92211-1146
US

V. Phone/Fax

Practice location:
  • Phone: 442-459-6773
  • Fax:
Mailing address:
  • Phone: 760-237-8070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: