Individual
MISS ELISABETH VANESSA MALIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18255 BROOKHURST ST, SUITE 100, FOUNTAIN VALLEY, CA 92708-6771
(714) 378-5330
(714) 378-5320
Mailing address
18255 BROOKHURST ST, SUITE 100, FOUNTAIN VALLEY, CA 92708-6771
(714) 378-5330
(714) 378-5320
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A 120781
CA
Other
Enumeration date
03/14/2008
Last updated
12/22/2021
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