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Individual

DR. CICERO H MALILAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1720 CESAR CHAVEZ AVE, LOS ANGELES, CA 90033
(800) 883-7243
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A63311
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A633110
CA
Enumeration date
04/06/2006
Last updated
01/06/2008
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