Individual
MEGHAN MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8635 W 3RD ST STE 990W, LOS ANGELES, CA 90048-6116
(310) 423-5900
Mailing address
1510 SAN PABLO ST, SUITE 514, LOS ANGELES, CA 90033-5320
(703) 371-9220
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
A133461
CA
208600000X
Surgery Physician
A133461
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/02/2014
Last updated
12/15/2022
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