Organization
ALAN E. MALKI, M.D. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANNA ELAINE DICKEY (MANAGER)
(951) 833-6676
Entity
Organization
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
—
GR0079160
—
CA
05
—
GR0079161
—
CA
Enumeration date
11/02/2007
Last updated
11/29/2016
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