Individual
MR. ALLAN EDWARD MALLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3252 HOLIDAY CT STE 205, LA JOLLA, CA 92037-1808
(619) 994-3053
Mailing address
PO BOX 22205, SAN DIEGO, CA 92192-2205
(619) 994-3053
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G24601
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G24601
MEDICAL
CA
Enumeration date
10/05/2006
Last updated
10/25/2024
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