Provider Demographics
NPI:1649456120
Name:MALONEY, PAMELA KAY (PHD,DHM,LAC)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:KAY
Last Name:MALONEY
Suffix:
Gender:F
Credentials:PHD,DHM,LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 OCEAN AVE APT 15
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-2230
Mailing Address - Country:US
Mailing Address - Phone:310-399-5253
Mailing Address - Fax:310-396-8466
Practice Address - Street 1:1514 17TH ST STE 203
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-3444
Practice Address - Country:US
Practice Address - Phone:310-453-0286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6054171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist