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Organization
LITOS O. MALLARE, M.D., INC.
Active
Organization
LITOS O. MALLARE, M.D., INC.
Active
Parent organization
LITOS O. MALLARE, M.D., INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LITOS O. MALLARE, M.D., INC.
Authorized official
DR. LITOS O. MALLARE M.D. (PSYCHIATRIST)
(310) 650-8951
Entity
Organization
Contact information
Practice address
23823 MALIBU RD, SUITE 50, #189, MALIBU, CA 90265-4628
(310) 650-8951
(310) 457-1082
Mailing address
23823 MALIBU RD, SUITE 50, #189, MALIBU, CA 90265-4628
(310) 650-8951
(310) 457-1082
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
Enumeration date
02/20/2014
Last updated
06/15/2015
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