Provider Demographics
NPI:1760571889
Name:MALLIN, DANBI (PA)
Entity Type:Individual
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First Name:DANBI
Middle Name:
Last Name:MALLIN
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:6255 W SUNSET BLVD FL 21
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-7422
Mailing Address - Country:US
Mailing Address - Phone:323-860-5200
Mailing Address - Fax:234-677-1193
Practice Address - Street 1:2946 SLEEPY HOLLOW RD STE 4B
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2003
Practice Address - Country:US
Practice Address - Phone:703-962-1528
Practice Address - Fax:571-771-3595
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2024-05-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0110001575363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical