Shahira S Abdel-Malek,MD,Inc.

Primary specialty

Pediatric Hospice and Palliative Medicine PhysicianTaxonomy code 2080H0002X

License

A36609 Issued in CA

Legal business name

SHAHIRA S ABDEL-MALEK,MD,INC.

Practice address

3100 E Florence Ave
Suite 1
Huntington Park, CA 90255-5848

Phone

(323) 583-4115

Fax

(323) 585-8793

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shahira Shafik Abdel-Malek, M.D.NPI 1295832277

Title

M.D.

Phone

(323) 583-4115

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Shahira Shafik Abdel-Malek, MD

  • Pediatrics Physician
  • Huntington Park, CA
  • NPI 1295832277
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508088840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 E FLORENCE AVE",
            "address_2": "SUITE 1",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555848",
            "telephone_number": "323-583-4115",
            "fax_number": "323-585-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E FLORENCE AVE",
            "address_2": "SUITE 1",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555848",
            "telephone_number": "323-583-4115",
            "fax_number": "323-585-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHIRA S ABDEL-MALEK,MD,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABDEL-MALEK",
        "authorized_official_first_name": "SHAHIRA",
        "authorized_official_middle_name": "SHAFIK",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "323-583-4115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080H0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A36609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Hospice and Palliative Medicine Physician in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Pediatric Hospice and Palliative Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.