Individual
DR. ABDALLA M MALLOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1011 BALDWIN PARK BLVD, KAISER BALDWIN PARK NEPHROLOGY DEPT, BALDWIN PARK, CA 91706-5806
(310) 922-8916
Mailing address
1011 BALDWIN PARK BLVD, KAISER BALDWIN PARK NEPHROLOGY DEPT, BALDWIN PARK, CA 91706-5806
(310) 922-8916
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A76945
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A769450
MEDICAL
CA
Enumeration date
07/27/2006
Last updated
11/29/2021
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