Provider Demographics
NPI:1275775652
Name:H MALEK CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:H MALEK CHIROPRACTIC CORPORATION
Other - Org Name:SOUTHLAND THERAPY CARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HANY
Authorized Official - Middle Name:
Authorized Official - Last Name:MALEK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-705-7200
Mailing Address - Street 1:17750 SHERMAN WAY
Mailing Address - Street 2:STE: 100C
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-3380
Mailing Address - Country:US
Mailing Address - Phone:818-705-7200
Mailing Address - Fax:818-342-8567
Practice Address - Street 1:17750 SHERMAN WAY
Practice Address - Street 2:STE: 100C
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-3380
Practice Address - Country:US
Practice Address - Phone:818-705-7200
Practice Address - Fax:818-342-8567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-31
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 20098111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA263735159OtherMEDICAL PROVIDER NETWORKS