Organization
MALAMA MEDICAL GROUP
Active
Organization
MALAMA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRIYANKA WALI MD (OWNER)
(408) 256-3180
Entity
Organization
Contact information
Practice address
1942 BROADWAY ST., STE. 314C, BOULDER, CO 80302
(949) 424-5479
Mailing address
2261 MARKET ST # 4785, SAN FRANCISCO, CA 94114-1612
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
—
163WM0102X
Maternal Newborn Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
—
—
374J00000X
Doula
—
—
Other
Enumeration date
12/07/2023
Last updated
06/04/2026
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