Individual
MEGHAN M MCCARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1661 SOQUEL AVE., SUITE #D, SANTA CRUZ, CA 95065-1709
(831) 460-6042
(831) 476-8819
Mailing address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
(831) 460-6042
(831) 476-8819
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA 19802
CA
363AS0400X
Surgical Physician Assistant
Primary
PA 19802
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA19802
CA STATE LICENSE
CA
Enumeration date
08/21/2008
Last updated
01/05/2022
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