Healthcare Provider Details

I. General information

NPI: 1689503229
Provider Name (Legal Business Name): LIMING PENG DOULA
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 CONGDON ST
SAN FRANCISCO CA
94112-1628
US

IV. Provider business mailing address

227 CONGDON ST
SAN FRANCISCO CA
94112-1628
US

V. Phone/Fax

Practice location:
  • Phone: 718-799-2026
  • Fax:
Mailing address:
  • Phone: 718-799-2026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175M00000X
TaxonomyLay Midwife
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: