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DOMINIQUE MALL,MD,INC

Organization (NPI-2) Active

Internal Medicine, Nephrology

Provider Information

NPI Number
1053465062
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
13911 OLD HARBOR LN #306, MARINA DEL REY, CA, 902927395
Phone
(310) 577-9547
Fax
(310) 577-9547

Specialties & Taxonomies

Internal Medicine, Nephrology Primary

All Addresses

MAILING

13911 OLD HARBOR LN #306

MARINA DEL REY, CA, 902927395

(310) 577-9547

LOCATION

13911 OLD HARBOR LN #306

MARINA DEL REY, CA, 902927395

(310) 577-9547