Provider Demographics
NPI:1811070394
Name:MALIK, NASEEM (RN, PHD)
Entity type:Individual
Prefix:MR
First Name:NASEEM
Middle Name:
Last Name:MALIK
Suffix:
Gender:M
Credentials:RN, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 4575 COVINA
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-4575
Mailing Address - Country:US
Mailing Address - Phone:714-865-8160
Mailing Address - Fax:
Practice Address - Street 1:1000 W. CARSON ST.
Practice Address - Street 2:HARBOR UCLA MEDICAL CENTER
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90509-2004
Practice Address - Country:US
Practice Address - Phone:310-618-9687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA432471163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health