Dr. Brenda J Malone
General Practice Physician
23233 Los Ranchos Dr
Tracy
, California 95304-9761
Dr. Brenda J Malone
General Practice Physician
23233 Los Ranchos Dr
Tracy
, California 95304-9761
(209) 836-4417
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Brenda J Malone
- Po Box 324
- Byron, CA
- Zip : 94514-0324
- Fax : (209) 836-4417
- Phone : (209) 836-4417
Second Address
- Dr. Brenda J Malone
- 23233 Los Ranchos Dr
- Tracy, CA
- Zip : 95304-9761
- Fax : (209) 836-4417
- Phone : (209) 836-4417
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | G48361 | CA |
National Provider Identifier
| NPI | 1013190263 |
|---|---|
| Provider Name | Dr. Brenda J Malone |
| First Address | Byron, CA 94514-0324 |
| Second Address | Tracy, CA 95304-9761 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/12/2007 |
| Last Update Date | 31/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A51020 | (02) | CA |
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.