Individual
LEYLA MALLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, PMHNP-BC
Contact information
Practice address
5012 CHESEBRO RD STE 200, AGOURA HILLS, CA 91301-2287
(925) 282-1778
Mailing address
5012 CHESEBRO RD STE 200, AGOURA HILLS, CA 91301-2287
(925) 282-1778
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95188193
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95028164
CA
Other
Enumeration date
12/12/2023
Last updated
10/29/2025
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