Organization
BRAINLAB MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABRAHAM MALKIN MD (PROVIDER)
(818) 839-7556
Entity
Organization
Contact information
Practice address
27509 AGOURA RD STE 205, AGOURA HILLS, CA 91301-5149
(503) 791-3205
Mailing address
27489 AGOURA RD STE 101, AGOURA HILLS, CA 91301-2481
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
06/03/2022
Last updated
09/13/2022
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