1932524485 NPI number — LITOS O. MALLARE, M.D., INC.

Table of content: (NPI 1932524485)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932524485 NPI number — LITOS O. MALLARE, M.D., INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LITOS O. MALLARE, M.D., INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932524485
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/15/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23823 MALIBU RD
Provider Second Line Business Mailing Address:
SUITE 50, #189
Provider Business Mailing Address City Name:
MALIBU
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90265-4628
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-650-8951
Provider Business Mailing Address Fax Number:
310-457-1082

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23823 MALIBU RD
Provider Second Line Business Practice Location Address:
SUITE 50, #189
Provider Business Practice Location Address City Name:
MALIBU
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90265-4628
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-650-8951
Provider Business Practice Location Address Fax Number:
310-457-1082
Provider Enumeration Date:
02/20/2014

Additional Information

Authorized Official

Authorized Official Last Name:
MALLARE
Authorized Official First Name:
LITOS
Authorized Official Middle Name:
O.
Authorized Official Title or Position:
PSYCHIATRIST
Authorized Official Telephone Number:
310-650-8951

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  A69317 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00A693172 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: ODA693170 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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