Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN L MALLORY, M.D.
ActivePediatrics · PARADISE, CA
Registration Details
- NPI Number
- 1730107400
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 18, 2006 (19.821184213576 yrs)
- Last Updated
- May 9, 2011
- License
-
G78212 (CA)
Practice Information
- Address
-
6480 PENTZ RDSUITE EPARADISE, CA, 959693672Browse CA providers · Browse ZIP 95969
- Phone
- 5308775437
- Fax
- 5308775692
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in PARADISE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. THEODORE ZWERDLING | MD | 1861475865 |
| MR. JAMES RUSSELL LOGAN | M.D. | 1477584001 |
| DENISE ABBASI | — | 1770062341 |
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.