Provider Demographics
NPI:1104647924
Name:HALL, PEYTON BRIANNA
Entity type:Individual
Prefix:MISS
First Name:PEYTON
Middle Name:BRIANNA
Last Name:HALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2703 S HOOVER ST # 203
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90007-2440
Mailing Address - Country:US
Mailing Address - Phone:631-800-4624
Mailing Address - Fax:
Practice Address - Street 1:600 LINCOLN AVE UNIT 92495
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91109-5707
Practice Address - Country:US
Practice Address - Phone:626-388-2191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula