Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SANJAY M MALLYA, B.D.S.
ActiveDR. SANJAY M MALLYA, B.D.S. is a Oral & Maxillofacial Pathology healthcare provider located in LOS ANGELES, California. NPI 1538158043 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Pathology · LOS ANGELES, CA
Registration Details
- NPI Number
- 1538158043
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2005 (20.641439746979 yrs)
- Last Updated
- Mar 2, 2010
- Licenses
-
9026 (CT)SP-251 (CA)
Practice Information
- Address
-
10833 LE CONTE AVECHS 10-165LOS ANGELES, CA, 900951668Browse CA providers · Browse ZIP 90095
- Phone
- 3108255634
- Fax
- 3102062748
- Primary Specialty
-
Oral & Maxillofacial Pathology
1223X0008X
- Additional Specialty
- Oral & Maxillofacial Pathology
Other Oral & Maxillofacial Pathology Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| DR. STUART C. WHITE | DDS | 1679580575 |
| DR. SOTIRIOS TETRADIS | DDS | 1538247754 |
| DR. LINDSAY MARIE TATMAN | DMD, MS | 1922813450 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.