Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 15472 | CA |
NPI | 1447558549 |
---|---|
Provider Name | Dr. Gregory Steven Malakoff |
First Address | Beverly Hills, CA 90212-4758 |
Second Address | Beverly Hills, CA 90212-4758 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2011 |
Last Update Date | 14/03/2011 |