Demetrios Nectarios Mallios
Cardiothoracic Vascular Surgeon
1520 San Pablo St Health Consultation Ceneter Ii, Suite 4300
Los Angeles
, California 90033-5310
Demetrios Nectarios Mallios
Cardiothoracic Vascular Surgeon
1520 San Pablo St Health Consultation Ceneter Ii, Suite 4300
Los Angeles
, California 90033-5310
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Demetrios Nectarios Mallios
- 1520 San Pablo St Health Consultation Ceneter Ii, Suite 4300
- Los Angeles, CA
- Zip : 90033-5310
- Phone :
Second Address
- Demetrios Nectarios Mallios
- 1520 San Pablo St Health Consultation Ceneter Ii, Suite 4300
- Los Angeles, CA
- Zip : 90033-5310
- Phone : (323) 442-5849
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 146158 | CA |
National Provider Identifier
| NPI | 1144763095 |
|---|---|
| Provider Name | Demetrios Nectarios Mallios |
| First Address | Los Angeles, CA 90033-5310 |
| Second Address | Los Angeles, CA 90033-5310 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/11/2016 |
| Last Update Date | 27/11/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.