| Doctor Name: | EDGAR NEPOMUCENO MALBAS |
| NPI Number: | 1487767653 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | PT24015 |
| Business Practice Address: | 8721 Bald Eagle Dr Eastvale, CA - 928801097 |
| Business Phone Number: | 9498362018 |
| Business Fax Number: | |
| Mailing Address: | 8721 Bald Eagle Dr, EASTVALE |
| State: | CA |
| Postal Code: | 928801097 |
| Phone Number: | 9498362018 |
| Fax Number: | |
| NPI Enumeration Date: | 08/15/2006 |
| NPI Last Update Date: | 08/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | PT24015 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |