Mallit, Justin Eli

Mallit, Justin Eli is an sole proprietor health care provider with primary practice located at 855 E Madison Ave , El Cajon CA 92020-3819. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mallit, Justin Eli can be contacted via phone (619) 440-2751.

Contact Information

Primary practice address
855 E Madison Ave El Cajon CA 92020-3819
Phone: (619) 440-2751
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA22408 California

Profile Details

NPI number 1801141163
LBN Legal business name Mallit, Justin Eli
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2012
Last updated Sep 26th, 2023 - about last year

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 1801141163 NPPES
California Other W14158 GROUP PTAN

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