Individual
MALVIN DEVON ANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
931 BUENA VISTA ST, SUITE 204, DUARTE, CA 91010-1712
(626) 303-7788
(626) 359-8912
Mailing address
931 BUENA VISTA ST, SUITE 204, DUARTE, CA 91010-1712
(626) 303-7788
(626) 359-8912
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A29436
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180028395
RAILROAD MEDICARE
CO
Enumeration date
01/25/2007
Last updated
08/20/2014
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