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Individual

ASHISH MALHOTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
19341 BEAR VALLEY RD, SUITE 101, APPLE VALLEY, CA 92308
(760) 810-7778
(760) 810-7780
Mailing address
19341 BEAR VALLEY RD, SUITE 101, APPLE VALLEY, CA 92308-5151
(760) 810-7778
(760) 810-7780

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A91216
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
A91216
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A91216
MEDICAL LICENSE
CA
Enumeration date
08/09/2006
Last updated
08/06/2018
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