| Doctor Name: | JOHN P MEEHAN |
| NPI Number: | 1992778989 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | G39663 |
| Business Practice Address: | 27231 La Paz Rd # A Laguna Niguel, CA - 926773627 |
| Business Phone Number: | 9496439111 |
| Business Fax Number: | 9496438916 |
| Mailing Address: | 26522 La Alameda, Suite 120 MISSION VIEJO |
| State: | CA |
| Postal Code: | 926916330 |
| Phone Number: | 9492821671 |
| Fax Number: | 9493670518 |
| NPI Enumeration Date: | 02/09/2006 |
| NPI Last Update Date: | 01/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G39663 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |