DOMINIQUE LUCIENNE MALL (NPI# 1821043423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821043423 |
| Entity Type | Individual |
| Full Name | DOMINIQUE LUCIENNE MALL |
| Credential | MD. |
| Practice Address |
11211 Sepulveda Blvd Mission Hills CA 91345-1115 |
| Mailing Address |
Po Box 9602 Mission Hills CA 91346-9602 |
| Practice Telephone | 8183659531 |
| Mailing Telephone | 8188375637 |
| Mailing Fax Number | 8188375589 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2012-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A86680 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 0A8668000 | 05 |
| Street Address |
11211 SEPULVEDA BLVD |
| City | MISSION HILLS |
| State | CA |
| Zip Code | 91345-1115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851388599 | Mary Manuel | Nurse Practitioner | 11211 Sepulveda Blvd, Mission Hills, CA 91345-1115 | 2005-09-27 |
| 1942463179 | Anita M. Dowdy | Nurse Practitioner | 11211 Sepulveda Blvd, Mission Hills, CA 91345-1115 | 2008-07-08 |
| 1033319173 | Mona M. Ghobrial | Family Medicine | 11211 Sepulveda Blvd, Mission Hills, CA 91345-1115 | 2007-07-18 |
| 1710181581 | Lillian Janeth Gonzalez | Nurse Practitioner | 11211 Sepulveda Blvd, Mission Hills, CA 91345-1115 | 2007-06-13 |
| 1326084005 | Zinat Ara Choudhury | Family Medicine | 11211 Sepulveda Blvd, Mission Hills, CA 91345-1115 | 2006-06-21 |
| 1467435297 | Joseph Desmond Chambers | Internal Medicine | 11211 Sepulveda Blvd, Mission Hills, CA 91345-1115 | 2005-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376141499 | Alpha Hospice | Hospice Care, Community Based | 15455 Devonshire St Suite 100a, Mission Hills, CA 91345 | 2020-10-12 |
| 1740725639 | Vivian Insua-lopez, Psy.d, Psychologist, Inc | Psychologist | 15455 San Fernando Misson Blvd., #308, Mission Hills, CA 91345 | 2016-12-30 |
| 1699162941 | Nancy M Kim Inc | Family Medicine | 11550 Indiana Hills Rd, 301, Mission Hills, CA 91345 | 2015-04-23 |
| 1881940088 | Prohealth-valley Occupational Medical Group | Clinic/Center | 10630 Sepulveda Blvd., Suite 100, Mission Hills, CA 91345 | 2012-07-25 |
| 1942588868 | Trauma & Critical Care Sfv Group Inc | Surgery | 11550 Indian Hills Road, Suite 310, Mission Hills, CA 91345 | 2011-07-26 |
| 1679860084 | Mirna G Villatoro | Residential Treatment Facility, Physical Disabilities | 11100 Sepulveda Blvd, # 232, Mission Hills, CA 91345 | 2011-07-06 |
| 1093010944 | Ana Yvette Alvarez | Rehabilitation Practitioner | 11565 Laurel Canyon Blvd. Suite 116, Mission Hills, CA 91345 | 2011-01-24 |
| 1811226392 | Tender Home Health | Home Health | 10117 Sepulveda Blvd Ste 205a, Mission Hills, CA 91345 | 2009-12-14 |
| 1033387279 | Jamal Elias Khoury | Chiropractor | 15336 Devonshire St. Ste 3, Mission Hills, CA 91345 | 2008-02-11 |
| 1043497282 | Ana Elena Aldana | Counselor | 10200 Sepulveda Blvd., Unit 100, Mission Hills, CA 91345 | 2008-01-30 |
| Find all providers in zip 91345 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043519341 | Nuha Abdalla Khalil Ibrahim | Internal Medicine | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2011-03-25 |
| 1790080810 | Tania Vashistha | Internal Medicine | 11165 Sepulveda Blvd, Mission Hills, CA 91345-1113 | 2011-01-20 |
| 1790097004 | Billy Try Hour | Internal Medicine | 11550 Indian Hills Rd, Suite 371, Mission Hills, CA 91345-1200 | 2010-07-02 |
| 1033306592 | Pascal Dabel | Internal Medicine | 11550 Indian Hills Rd Ste 371, Mission Hills, CA 91345-1252 | 2007-09-28 |
| 1114945227 | Fung-chuan Chou | Internal Medicine | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2006-07-17 |
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|---|---|---|---|---|
| 1710585328 | Empire Medical Specialist | Internal Medicine | 28625 Quaint St, Agoura Hills, CA 91301-1735 | 2020-10-15 |
| 1538774989 | Modern Telehealth | Internal Medicine | 1509 Espinosa Cir, Palos Verdes Estates, CA 90274-1917 | 2020-09-12 |
| 1073137733 | Jafar Alsaid | Internal Medicine | 2009 Baywood Ln, Davis, CA 95618-0500 | 2020-05-29 |
| 1164041422 | Advanced Care Multispecialty Medical Group Apc | Internal Medicine | 13990 Bear Fence Court, Moorpark, CA 93021-5022 | 2020-04-15 |
| 1629600416 | Valley Kidney Medical Group Inc | Internal Medicine | 1646 E Herndon Ave Ste 106, Fresno, CA 93720-3380 | 2020-02-10 |
| 1437789278 | Spectrum Dialysis | Internal Medicine | 18040 Sherman Way Ste 220, Reseda, CA 91335-4631 | 2020-01-21 |
| 1932745007 | K Care Ipa | Internal Medicine | 18000 Studebaker Rd Ste 100, Cerritos, CA 90703-7929 | 2019-11-22 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1669930723 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 160, Chico, CA 95928-8351 | 2019-03-07 |
| 1295293363 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 220, Chico, CA 95928-8351 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
| City | MISSION HILLS |
| Zip Code | 91345 |
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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.