Healthcare Provider Details

I. General information

NPI: 1215769310
Provider Name (Legal Business Name): PEYTON MEI MING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2024
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3055 WILSHIRE BLVD STE 300
LOS ANGELES CA
90010-1147
US

IV. Provider business mailing address

3055 WILSHIRE BLVD STE 300
LOS ANGELES CA
90010-1147
US

V. Phone/Fax

Practice location:
  • Phone: 213-375-3830
  • Fax:
Mailing address:
  • Phone: 213-434-5668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: