Malicki, Denise Michelle

Malicki, Denise Michelle is an individual health care provider with primary practice located at 3020 Childrens Way , San Diego CA 92123-4223. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Pediatric Pathology. Allopathic & Osteopathic Physicians / Pediatric Pathology is her primary health care specialty. Malicki, Denise Michelle can be contacted via phone (858) 966-5944.

Contact Information

Primary practice address
3020 Childrens Way San Diego CA 92123-4223
Phone: (858) 966-5944
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X A62107 California
Allopathic & Osteopathic Physicians / Pediatric Pathology 207ZP0213X A62107 California

Profile Details

NPI number 1396816054
LBN Legal business name Malicki, Denise Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jan 26th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396816054 NPPES
California MEDICAID 00A621070

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