Provider Demographics
NPI:1336615822
Name:MCBRIDE, MEGEN D (ND)
Entity Type:Individual
Prefix:MRS
First Name:MEGEN
Middle Name:D
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:670 MURAL ST
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92057-6367
Mailing Address - Country:US
Mailing Address - Phone:760-420-0207
Mailing Address - Fax:760-334-8712
Practice Address - Street 1:317 N EL CAMINO REAL STE 107
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2812
Practice Address - Country:US
Practice Address - Phone:760-456-5640
Practice Address - Fax:760-334-8712
Is Sole Proprietor?:No
Enumeration Date:2018-10-23
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAND1026175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAND1026OtherNATUROPATHIC MEDICINE COMMITTEE