Individual
DR. VIVIANA MALET'A
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1930 S BROAD ST, UNIT 5, PHILADELPHIA, PA 19145-2328
(215) 467-5870
(215) 467-5873
Mailing address
701 E 28TH ST, STE 200, LONG BEACH, CA 90806-2784
(562) 264-3121
(562) 216-6196
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-062006-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001660249
—
PA
Enumeration date
07/20/2006
Last updated
05/17/2017
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