MEDICARE: MEGAN RILEY JONES DC

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	111N00000X	Chiropractor	DC36585	CA

General Provider Information

NPI Number	:	1740013291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN RILEY JONES DC

Provider Business Mailing Address
First Line	:	11907 AYRES AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-1304
Country	:	US
Telephone Number	:	916-412-2024
Fax Number	:

Provider Business Practice Location Address
First Line	:	1511 4TH ST
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90401-2310
Country	:	US
Telephone Number	:	310-899-1166
Fax Number	:

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

Provider Enumeration Date	:	08/21/2024
Last Update Date	:	08/21/2024

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