MEDICARE: MRS. MEGAN SMITH

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	101YM0800X	Mental Health Counselor		CA

General Provider Information

NPI Number	:	1861209504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MEGAN SMITH

Provider Business Mailing Address
First Line	:	1180 S BEVERLY DR STE 750
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-1123
Country	:	US
Telephone Number	:	424-777-0520
Fax Number	:

Provider Business Practice Location Address
First Line	:	11600 WASHINGTON PL
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-5033
Country	:	US
Telephone Number	:	323-329-6798
Fax Number	:

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

Provider Enumeration Date	:	12/16/2024
Last Update Date	:	10/28/2025

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Directions to “ MRS. MEGAN SMITH ” Practice Location

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