Individual
MALCOLM KE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23456 HAWTHORNE BLVD STE 100, TORRANCE, CA 90505-4752
(310) 540-5272
(310) 540-5271
Mailing address
PO BOX 3704, MANHATTAN BEACH, CA 90266-1704
(424) 206-1406
(424) 206-1406
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A73403
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000523164
ANTHEM
OH
05
—
00A734030
—
CA
01
—
221410
UNISON
OH
05
—
2673530
—
OH
01
—
7190699
AETNA
OH
01
—
P00333086
RAILROAD MEDICARE
OH
Enumeration date
07/03/2006
Last updated
11/04/2020
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