Megan Gotiangco, PMHNP
Nurse Practitioner, Psych/Mental Health in La Jolla, CA. Individual provider (NPI-1).
NPI number1366092215
StatusActive
Last updated in NPPESFeb 17, 2025
Details
- NPI
- 1366092215
- Entity type
- Individual (NPI-1)
- Name
- Megan Gotiangco
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2019
- Certification date
- Feb 17, 2025
- Last updated
- Feb 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 95023761 | CA | Yes |
| 163W00000X | Registered Nurse | 95297211 | CA | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
8950 Villa La Jolla Dr Ste C230La Jolla, CA 92037-1712
Phone 925-282-1778 · Fax 415-296-5299
Mailing address
8950 Villa La Jolla Dr Ste C230La Jolla, CA 92037-1712
Phone 925-282-1778 · Fax 415-296-5299
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