Individual
MEGAN HENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18200 YORBA LINDA BLVD STE 250, YORBA LINDA, CA 92886-4044
(714) 577-6000
Mailing address
25081 LEUCADIA ST UNIT G, LAGUNA NIGUEL, CA 92677-7586
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
CA
Enumeration date
01/10/2022
Last updated
08/01/2023
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