| Irene Malek MD Professional Corporation | |
|
3610 Atlantic Ave Long Beach CA 90807-3418 | |
| (562) 492-9288 | |
| (562) 595-9346 |
| Full Name | Irene Malek MD Professional Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 3610 Atlantic Ave, Long Beach, California |
| Authorized Official Name and Position | Irene a Malek (PRESIDENT) |
| Authorized Official Contact | 5624929288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Irene Malek MD Professional Corporation Po Box 1856 Los Alamitos CA 90720-1856 Ph: (310) 792-3914 | Irene Malek MD Professional Corporation 3610 Atlantic Ave Long Beach CA 90807-3418 Ph: (562) 492-9288 |
| NPI Number | 1982651006 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 11/13/2021 |
| Certification Date | 11/13/2021 |
| Medicare PECOS PAC ID | 1557367737 |
|---|---|
| Medicare Enrollment ID | O20061011000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982651006 | NPI | - | NPPES |
| Provider Name | Irene a Malek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316984248 PECOS PAC ID: 6204892045 Enrollment ID: I20041203000495 |
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