Provider Demographics
NPI:1700921426
Name:MALAK-MAJDALANI, NAJLA ELIAS (OD)
Entity Type:Individual
Prefix:DR
First Name:NAJLA
Middle Name:ELIAS
Last Name:MALAK-MAJDALANI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 AUTUMNWIND CT.
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583
Mailing Address - Country:US
Mailing Address - Phone:925-328-1015
Mailing Address - Fax:510-784-0433
Practice Address - Street 1:64 AUTUMNWIND CT
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-5310
Practice Address - Country:US
Practice Address - Phone:925-328-1015
Practice Address - Fax:510-784-0433
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9424T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist