Provider Demographics
NPI:1528834405
Name:CAMERON, MEGAN EOLWYN (DC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:EOLWYN
Last Name:CAMERON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6620 OWENS DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-3341
Mailing Address - Country:US
Mailing Address - Phone:925-255-5805
Mailing Address - Fax:
Practice Address - Street 1:1390 WILLOW PASS RD STE 190
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-7935
Practice Address - Country:US
Practice Address - Phone:925-448-9418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36640111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor