MEDICARE: MR. MICHAEL LENARDO PAYNE JR.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	E151623	CA

General Provider Information

NPI Number	:	1790611192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL LENARDO PAYNE JR.

Provider Business Mailing Address
First Line	:	4316 LOS FELIZ BLVD # 1
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-2215
Country	:	US
Telephone Number	:	805-210-4001
Fax Number	:

Provider Business Practice Location Address
First Line	:	4316 LOS FELIZ BLVD # 1
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-2215
Country	:	US
Telephone Number	:	805-210-4001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2026
Last Update Date	:	06/23/2026

Similar Medicare Providers

1356489660 — JERRY LANIER DDS
Practice Location Address:

2215 N VERMONT AVE
LOS ANGELES, CA
90027-1236

Practice Phone: 323-203-2564
Practice Fax:

1790023703 — MS. ALMA ANGELICA PEREZ
Practice Location Address:

4320 LOS FELIZ BLVD # 3
LOS ANGELES, CA
90027-2215

Practice Phone: 562-884-2659
Practice Fax:

1376706473 — MS. SHEIDA ASHLEY MFT
Practice Location Address:

2215 BENECIA AVE
LOS ANGELES, CA
90064-2511

Practice Phone: 310-277-6362
Practice Fax: 310-552-0904

1891084752 — MS. SHADI ARIANPOUR
Practice Location Address:

431 S HEWITT ST
LOS ANGELES, CA
90013-2215

Practice Phone: 213-537-0610
Practice Fax:

1316595150 — SHANI PARK
Practice Location Address:

2215 ALCAZAR ST APT 324
LOS ANGELES, CA
90033-1003

Practice Phone: 623-262-5275
Practice Fax:

1346887361 — DR. NICOLE TAMIKO MASADA PEPE PHARMD
Practice Location Address:

13128 PSOMAS WAY
LOS ANGELES, CA
90066-2215

Practice Phone: 206-366-5808
Practice Fax:

Directions to “ MR. MICHAEL LENARDO PAYNE JR. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.