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Individual
LITOS O. MALLARE
Active
Individual
LITOS O. MALLARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A69317
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A693172
—
CA
05
—
ODA693170
—
CA
01
—
P00032627
RAILROAD MEDICARE
CA
Enumeration date
07/29/2005
Last updated
06/24/2015
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