Individual
ALAN ELIE MALKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2415 BATH ST, SANTA BARBARA, CA 93105-4324
(805) 687-3744
(805) 687-6048
Mailing address
700 E REDLANDS BLVD, U515, REDLANDS, CA 92373-6109
(805) 687-3744
(805) 687-6048
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G43969
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G439690
—
CA
01
—
00G439692
MEDICARE INDIVIDUAL PTAN
CA
05
—
GR0079160
—
CA
05
—
GR0079161
—
CA
01
—
ZZZ13778Z
MEDICARE PIN
CA
01
—
ZZZ13779Z
MEDICARE PIN
—
Enumeration date
07/06/2006
Last updated
09/11/2016
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