Organization
DIEGO MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICE DIEGO-MALIT MD (PHYSICIAN)
(310) 549-2840
Entity
Organization
Contact information
Practice address
30 MUSTANG RD, RANCHO PALOS VERDES, CA 90275-5250
(310) 549-2840
(310) 549-3115
Mailing address
23517 MAIN ST STE 101, CARSON, CA 90745-5227
(310) 549-2840
(310) 549-3115
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A60216
CA
Other
Enumeration date
07/07/2006
Last updated
08/22/2020
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