Individual
MAHMOUD MALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9434 MEDICAL CENTER DR FL 1, LA JOLLA, CA 92037
(619) 543-6980
(858) 657-5033
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A69875
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408917100
—
MD
Enumeration date
06/21/2006
Last updated
08/30/2018
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