Individual
DR. MAURICE ROY MASLIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
5400 BALBOA BLVD, SUITE 225, ENCINO, CA 91316-1502
(818) 981-3344
(818) 981-4777
Mailing address
5400 BALBOA BLVD, SUITE 225, ENCINO, CA 91316-1502
(818) 981-3344
(818) 981-4777
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1951
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710085964
DMEPOS
CA
01
—
954528399
TAX ID
—
01
—
E1951
STATE LICENSE
CA
Enumeration date
09/20/2006
Last updated
09/26/2019
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