Individual
CATHERINE M MALLOUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, PSYCHIATRY DEPT, SAN JOSE, CA 95128-2604
(408) 885-5000
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G68075
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G680750
—
CA
Enumeration date
11/28/2006
Last updated
09/12/2007
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