Individual
DR. HAMID MALAKOOTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2428 W WHITTIER BLVD, MONTEBELLO, CA 90640-3041
(323) 722-5550
(323) 722-0704
Mailing address
2428 W WHITTIER BLVD, MONTEBELLO, CA 90640-3041
(323) 722-5550
(323) 722-0704
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A40504
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A405040
—
CA
01
—
954216264
TAX ID
CA
Enumeration date
10/25/2006
Last updated
05/28/2008
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