Individual
MS. MEGAN ANN ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2020 SANTA MONICA BLVD STE 600, SANTA MONICA, CA 90404-2131
(310) 826-5471
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
95018844
CA
363L00000X
Nurse Practitioner
95018844
CA
Other
Enumeration date
01/05/2022
Last updated
09/19/2025
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