MEDICARE: MEGAN ELIZABETH CUFF

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	225400000X	Rehabilitation Practitioner	115562	CA
2	101YM0800X	Mental Health Counselor	AMFT115562	CA
3	106H00000X	Marriage & Family Therapist	115562	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7184	OTHER	CA	MEDI-CAL
2	7667	OTHER	CA	MEDI-CAL
3	7708	OTHER	CA	MEDI-CAL
4	7368	OTHER	CA	MEDI-CAL

General Provider Information

NPI Number	:	1710495924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN ELIZABETH CUFF

Provider Business Mailing Address
First Line	:	20695 S WESTERN AVE STE 132
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90501-1834
Country	:	US
Telephone Number	:	424-271-7414
Fax Number	:

Provider Business Practice Location Address
First Line	:	20695 S WESTERN AVE STE 132
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90501-1834
Country	:	US
Telephone Number	:	424-271-7414
Fax Number	:

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

Provider Enumeration Date	:	01/22/2018
Last Update Date	:	12/08/2025

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