# U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053862607
- **Legal business name:** U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC
- **Authorized official:** JOSEPH T MALLAS (PRESIDENT)
- **Authorized official phone:** (661) 678-2600

## Contact information

- **Practice address:** 4100 LAKE OTIS PKWY, SUITE 322, ANCHORAGE, AK 99508-5229
- **Practice address phone:** (907) 562-1234
- **Practice address fax:** (907) 561-8550
- **Mailing address:** 25124 SPRINGFIELD CT, SUITE 200, VALENCIA, CA 91355-1085
- **Mailing address phone:** (661) 678-2600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | — | NULL | — |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/19/2016
- **Last updated:** 10/14/2021