Active NPI
Mei Leng Iao, REGISTERED DIETITAN
- Registered Dietitian
- Los Angeles, CA
National Provider Identifier
1497030829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1065801
- Practice address
- 2307 Shoredale Ave Apt 1
Los Angeles, CA 90031-1146 - Phone
- (415) 706-6716
- NPI assigned
- Oct 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1065801 | CA | Primary |
Addresses
Primary practice location
2307 Shoredale Ave Apt 1
Los Angeles, CA 90031-1146
Mailing address
2307 Shoredale Avenue
Apt 1
Los Angeles, CA 90031
Phone (415) 706-6716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1065801 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1497030829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 SHOREDALE AVENUE",
"address_2": "APT 1",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90031",
"telephone_number": "415-706-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 SHOREDALE AVE APT 1",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900311146",
"telephone_number": "415-706-6716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IAO",
"first_name": "MEI LENG",
"credential": "REGISTERED DIETITAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-17",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1065801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.