Individual
DENISE MICHELLE MALICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 966-5944
Mailing address
3020 CHILDRENS WAY, MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A62107
CA
207ZP0213X
Pediatric Pathology Physician
Primary
A62107
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A621070
—
CA
Enumeration date
11/13/2006
Last updated
01/26/2017
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