Dwight W. Malone, M.D., Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G71749 Issued in CA

Legal business name

DWIGHT W. MALONE, M.D., INC

Practice address

5230 Pacific Concourse Dr
110
Los Angeles, CA 90045-6200

Phone

(323) 779-2800

Fax

(323) 754-4014

NPI assigned

Nov 10, 2006

Last updated

Dec 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dwight Wayne Malone, M.D.NPI 1093886269

Title

MD

Phone

(323) 779-2800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dwight Wayne Malone, M.D.

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1093886269
  Authorized official Same address or phone

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1457422628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 PACIFIC CONCOURSE DR",
            "address_2": "110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900456200",
            "telephone_number": "323-779-2800",
            "fax_number": "323-754-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 PACIFIC CONCOURSE DR",
            "address_2": "110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900456200",
            "telephone_number": "323-779-2800",
            "fax_number": "323-754-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWIGHT W. MALONE, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "323-779-2800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G71749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G717490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Dvorak, MA
• Dalia H. Dvoretsky, R.D.
• DW Cho Dental Corporation (Allstar Dental Group)
• Craig Dwelling
• Dwight H. Smith, M.D., Inc
• Mark Dwight, M.D.
• Ian Dworkin
• Benjamin Dworkis
• Daniel A Dworkis, M.D., PH.D.
• James Robert Dwyer, LCSW

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.