DOMINIQUE LUCIENNE MALL


Address: 11211 Sepulveda Blvd, Mission Hills, CA 91345-1115
Phone: 8183659531

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
A86680 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 0A8668000 05

Office Location

Street Address 11211 SEPULVEDA BLVD
City MISSION HILLS
State CA
Zip Code 91345-1115

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
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Competitor

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City MISSION HILLS
Zip Code 91345

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Dataset Information

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.

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