Healthcare Provider Details

I. General information

NPI: 1831045566
Provider Name (Legal Business Name): LIFE AT PEACE MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2110 ARTESIA BLVD # 511
REDONDO BEACH CA
90278-3073
US

IV. Provider business mailing address

2110 ARTESIA BLVD # 511
REDONDO BEACH CA
90278-3073
US

V. Phone/Fax

Practice location:
  • Phone: 310-902-8846
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MEDELL KRISTEN BRIGGS-MALONSON
Title or Position: OWNER
Credential: MD
Phone: 310-902-8846