Provider Demographics
NPI:1366694747
Name:ARIEL MALAMUD, A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:ARIEL MALAMUD, A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALAMUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-440-2040
Mailing Address - Street 1:1513 S GRAND AVE
Mailing Address - Street 2:SUITE 330
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-3070
Mailing Address - Country:US
Mailing Address - Phone:213-440-2040
Mailing Address - Fax:213-234-4516
Practice Address - Street 1:1513 S GRAND AVE
Practice Address - Street 2:SUITE 330
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-3070
Practice Address - Country:US
Practice Address - Phone:213-440-2040
Practice Address - Fax:213-234-4516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty