Individual
DEMETRIOS NECTARIOS MALLIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 SAN PABLO ST, HEALTH CONSULTATION CENETER II, SUITE 4300, LOS ANGELES, CA 90033-5310
(323) 442-5849
Mailing address
1520 SAN PABLO ST, HEALTH CONSULTATION CENETER II, SUITE 4300, LOS ANGELES, CA 90033-5310
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
146158
CA
Other
Enumeration date
11/27/2016
Last updated
11/27/2016
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