Provider Demographics
NPI:1821036864
Name:MALHIS, TALAL M (MD)
Entity Type:Individual
Prefix:
First Name:TALAL
Middle Name:M
Last Name:MALHIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15725 WHITTIER BLVD
Mailing Address - Street 2:STE 450
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-2347
Mailing Address - Country:US
Mailing Address - Phone:562-947-0648
Mailing Address - Fax:
Practice Address - Street 1:15141 WHITTIER BLVD
Practice Address - Street 2:STE 130
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-2145
Practice Address - Country:US
Practice Address - Phone:562-945-2832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA38251207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery