MEDICARE: MEGAN MORAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	20437	CA

General Provider Information

NPI Number	:	1326915935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN MORAN

Provider Business Mailing Address
First Line	:	1106 RINDGE LN
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278-5055
Country	:	US
Telephone Number	:	424-400-9371
Fax Number	:

Provider Business Practice Location Address
First Line	:	29353 CANWOOD ST
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-1594
Country	:	US
Telephone Number	:	747-588-7455
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2025
Last Update Date	:	10/20/2025

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Directions to “ MEGAN MORAN ” Practice Location

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