| Doctor Name: | DR. BRENDA J MALONE |
| NPI Number: | 1013190263 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | G48361 |
| Business Practice Address: | 23233 Los Ranchos Dr Tracy, CA - 953049761 |
| Business Phone Number: | 2098364417 |
| Business Fax Number: | 2098364417 |
| Mailing Address: | Po Box 324, BYRON |
| State: | CA |
| Postal Code: | 945140324 |
| Phone Number: | 2098364417 |
| Fax Number: | 2098364417 |
| NPI Enumeration Date: | 12/11/2007 |
| NPI Last Update Date: | 05/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G48361 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |