Individual
DR. DENNIS R MALKASIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
400 NEWPORT CENTER DR, SUITE 310, NEWPORT BEACH, CA 92660-7601
(949) 720-1390
(949) 720-8027
Mailing address
400 NEWPORT CENTER DR, SUITE 310, NEWPORT BEACH, CA 92660-7601
(949) 720-1390
(949) 720-8027
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A26001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000A26001
—
CA
Enumeration date
05/18/2006
Last updated
06/24/2008
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