DOMINIQUE MALLMDINC NPI 1053465062

NPI Information

DOMINIQUE MALL,MD,INC is a nephrology internal medicine in Marina Del Rey, CA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DOMINIQUE MALL,MD,INC NPI is 1053465062. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13911 OLD HARBOR LN
#306
MARINA DEL REY, CA
ZIP 90292-395
Phone: (310) 577-9547
Fax: (310) 577-9547

The provider's authorized official is Dominique Lucienne Mall .
The authorized official title is President and has the following contact phone number (310) 902-8947.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 8/24/2011.

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