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Individual

HENRY ABDEL MALEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
CMC AT HIGHWAY 1, SAN LUIS OBISPO, CA 93409-0001
(805) 547-7900
Mailing address
PO BOX 8101, SAN LUIS OBISPO, CA 93409-0001
(805) 547-7900

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A44023
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A44023
LISENCE MDA44023
CA
Enumeration date
01/10/2009
Last updated
01/10/2009
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