Kamelia Mallak DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58207 Issued in CA

Legal business name

KAMELIA MALLAK DDS, INC

Practice address

3943 E Anaheim St
Long Beach, CA 90804-4101

Phone

(562) 597-4500

Fax

(562) 494-7334

NPI assigned

May 6, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kamelia Mallak, DDS

Title

Owner

Phone

(310) 633-1337

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Hoa, DMD

  • Dentist
  • Long Beach, CA
  • NPI 1033794953
  NPD
• James John Tavernakis, DDS

  • General Practice Dentistry
  • Long Beach, CA
  • NPI 1831234426
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1285079129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3943 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044101",
            "telephone_number": "562-597-4500",
            "fax_number": "562-494-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3943 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044101",
            "telephone_number": "562-597-4500",
            "fax_number": "562-494-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMELIA MALLAK DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "MALLAK",
        "authorized_official_first_name": "KAMELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-633-1337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamalbijanpour Inc
• Jennifer Lindsay Thompson Kamar, PHD
• Velma Kamara
• Dauda Kamarakay
• Karam Kamel
• Fathima Zahra Kamil Faiz, M.D.
• Nikolay V. Kaminsky, M.D.
• Ashley Kampfer, ATC
• Nikka Kanani, ND
• Miyuki Kanda, LMFT

• General Practice Dentistry in Long Beach, CA
• Providers in Long Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.