Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
JERRY B MALLEUS, DDS INC.
Active
Organization
JERRY B MALLEUS, DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY B MALLEUS DDS (PRES.)
(818) 832-5102
Entity
Organization
Contact information
Practice address
125 S BRAND BLVD, SAN FERNANDO, CA 91340-3304
(818) 365-6321
(818) 365-0011
Mailing address
125 S BRAND BLVD, SAN FERNANDO, CA 91340-3304
(818) 365-6321
(818) 365-0011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24826
CA
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up