# MALAMA MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912774167
- **Authorized official:** PRIYANKA WALI MD (OWNER)
- **Authorized official phone:** (408) 256-3180

## Contact information

- **Practice address:** 1942 BROADWAY ST., STE. 314C, BOULDER, CO 80302
- **Practice address phone:** (949) 424-5479
- **Mailing address:** 2261 MARKET ST \# 4785, SAN FRANCISCO, CA 94114-1612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133N00000X | Nutritionist | — | NULL | — |
| 133N00000X | Nutritionist | — | — | — |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | NULL | Yes |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | — | Yes |
| 163WM0102X | Maternal Newborn Registered Nurse | — | NULL | — |
| 163WM0102X | Maternal Newborn Registered Nurse | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 172V00000X | Community Health Worker | — | NULL | — |
| 172V00000X | Community Health Worker | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 374J00000X | Doula | — | NULL | — |
| 374J00000X | Doula | — | — | — |

## Other

- **Enumeration date:** 12/07/2023
- **Last updated:** 06/04/2026