MEDICARE: DR. PHILIP L. MEYERS MD

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	208000000X	Pediatrics Physician	MD-7917	HI
2	208000000X	Pediatrics Physician	G52107	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000001164	OTHER	HI	HMSA BILLING NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811051691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP L. MEYERS MD

Provider Business Mailing Address
First Line	:	24422 AVENIDA DE LA CARLOTA STE 300
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-3628
Country	:	US
Telephone Number	:	949-599-2434
Fax Number	:

Provider Business Practice Location Address
First Line	:	29525 CANWOOD ST STE 250
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-4231
Country	:	US
Telephone Number	:	818-735-5555
Fax Number	:	818-996-4712

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

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	03/03/2022

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