| Doctor Name: | DR. IRVING MALIS |
| NPI Number: | 1104263540 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A21089 |
| Business Practice Address: | 23312 Park Hacienda Calabasas, CA - 913021715 |
| Business Phone Number: | 8184268700 |
| Business Fax Number: | 2676297055 |
| Mailing Address: | 23312 Park Hacienda, CALABASAS |
| State: | CA |
| Postal Code: | 913021715 |
| Phone Number: | 8184268700 |
| Fax Number: | 2676297055 |
| NPI Enumeration Date: | 05/24/2013 |
| NPI Last Update Date: | 05/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | A21089 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |