Provider Demographics
NPI:1598998296
Name:MAALOUF, HAYKAL K (MA)
Entity Type:Individual
Prefix:
First Name:HAYKAL
Middle Name:K
Last Name:MAALOUF
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 570742
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91357-0742
Mailing Address - Country:US
Mailing Address - Phone:818-996-7357
Mailing Address - Fax:
Practice Address - Street 1:1145 GAYLEY AVE
Practice Address - Street 2:SUITE 322
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-3423
Practice Address - Country:US
Practice Address - Phone:310-208-4240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program