Healthcare Provider Details

I. General information

NPI: 1447198734
Provider Name (Legal Business Name): PEI ZHI LUO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13987 35TH AVE
FLUSHING NY
11354-3548
US

IV. Provider business mailing address

13987 35TH AVE
FLUSHING NY
11354-3548
US

V. Phone/Fax

Practice location:
  • Phone: 626-530-4989
  • Fax:
Mailing address:
  • Phone: 626-530-4989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: