NICOLAS MALO PET NPI 1245966357

NPI Information

NPI: 1245966357
Provider Name: NICOLAS MALO, PET
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
734 10TH AVE
SAN DIEGO, CA
ZIP 92101
Phone: (619) 239-0024
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Nicolas Malo, PET is a peer specialist in San Diego, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Nicolas Malo, PET NPI is 1245966357. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

734 10TH AVE
SAN DIEGO, CA
ZIP 92101-502
Phone: (619) 239-0024

The enumeration date for this NPI number is 7/29/2022 and was last updated on 7/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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