Individual
ALISA MALKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 S GREEN VALLEY RD, WATSONVILLE, CA 95076-3053
(831) 458-5865
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A170734
CA
Other
Enumeration date
04/06/2017
Last updated
01/06/2021
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