Individual
CHARLES MALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
795 EL CAMINO REAL, PALO ALTO, CA 94301
(650) 853-2943
(650) 853-6094
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 853-2943
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
553346
CA
363LF0000X
Family Nurse Practitioner
NP95006648
CA
Other
Enumeration date
12/13/2017
Last updated
04/15/2025
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