Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A94784 | CA |
Y | 111NI0900X | Internist | A94784 | CA |
N | 207RC0200X | Critical Care Medicine | A94784 | CA |
N | 207RP1001X | Pulmonary Disease | A94784 | CA |
N | 207RS0012X | Sleep Medicine | MD15154 | RI |
NPI | 1003073776 |
---|---|
Provider Name | Dr. Sterling Leaf Malish |
First Address | Los Angeles, CA 90017-4804 |
Second Address | Warwick, RI 02886-2759 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2008 |
Last Update Date | 17/03/2018 |