DR. KAMELIA KHALIL MALLAK (NPI# 1477797835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477797835 |
| Entity Type | Individual |
| Full Name | DR. KAMELIA KHALIL MALLAK |
| Other Name | KAMELIA S. KHALIL |
| Credential | DDS |
| Practice Address |
3943 E Anaheim Street Long Beach CA 90804 |
| Practice Telephone | 5625974500 |
| Practice Fax Number | 5624947334 |
| Mailing Telephone | 5625974500 |
| Mailing Fax Number | 5624947334 |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2013-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 58207 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
58207 | CA | Dental Providers |
| Street Address |
3943 E ANAHEIM STREET |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467069633 | Jonathan Beroukhim Dds Inc | Dentist | 6950 N Paramount Blvd, Long Beach, CA 90805-1863 | 2020-09-30 |
| 1093347437 | Leila Zamiri Dds Inc | Dentist | 3317 E 10th St, Long Beach, CA 90804-5050 | 2020-02-04 |
| 1356971063 | Michael Bui Dmd, Inc | Dentist | 3320 N Los Coyotes Diagonal Ste 250, Long Beach, CA 90808-3939 | 2020-01-22 |
| 1518508605 | Wu and Najafi Dental Corporation | Dentist | 7370 Carson Blvd, Long Beach, CA 90808-2360 | 2019-10-01 |
| 1487205878 | Steven Wu Dental Corporation | Dentist | 7603 Carson Blvd, Long Beach, CA 90808-2367 | 2019-09-26 |
| 1336792068 | Nam G Bui | Dentist | 4808 Bentree Ave, Long Beach, CA 90807-1007 | 2019-07-22 |
| 1568023265 | Alice Khieu Flores | Dentist | 1321 Lemon Ave, Long Beach, CA 90813-2100 | 2019-06-24 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1851875405 | Ronald C. Abaro Dds Inc | Dentist | 627 Magnolia Ave Ste 105, Long Beach, CA 90802-1289 | 2018-09-19 |
| 1548754260 | Peace Kim Dentistry, Inc. | Dentist | 3840 Woodruff Ave Ste 107, Long Beach, CA 90808-2148 | 2018-06-16 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.