Dominique Mall,Md,Inc

LBN: Dominique Mall,Md,Inc
Dominique Mall,Md,Inc is an health care organization with primary practice located at 13911 Old Harbor Ln #306, Marina Del Rey CA 90292-7395. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Dominique Mall,Md,Inc can be contacted via phone (310) 577-9547, or through Mall, Dominique Lucienne via phone (310) 902-8947.

Contact Information

Primary practice address
13911 Old Harbor Ln #306 Marina Del Rey CA 90292-7395
Phone: (310) 577-9547
Fax: (310) 577-9547
Website:
Map and Directions
Authorized official contact:
Name: Mall, Dominique Lucienne Doctor of Medicine (MD)
Phone: (310) 902-8947

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1053465062
LBN Legal business name Dominique Mall,Md,Inc
DBA Doing business as
Authorized official Mall, Dominique Lucienne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Aug 24th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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