Individual
NICHELLE MEGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W. CARSON STREET,, TORRANCE, CA 90509-2910
(310) 222-2401
Mailing address
BOX 400, 1000 W. CARSON STREET,, TORRANCE, CA 90509-2910
(310) 222-2401
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A137661
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/05/2014
Last updated
08/12/2022
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