Kamelia Mallak Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KAMELIA MALLAK DENTAL CORP

Practice address

3662 Katella Ave Ste 100
Los Alamitos, CA 90720-3178

Phone

(562) 795-5900

Fax

(562) 795-9119

NPI assigned

Oct 21, 2025

Last updated

Oct 21, 2025By 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

Dr. Kamelia Mallak, DDSNPI 1477797835

Title

Dentist

Phone

(310) 633-1337

Specialties & licenses 1

Addresses

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.

• Kamelia Khalil Mallak, DDS

  • Dentist
  • Long Beach, CA
  • NPI 1477797835
  NPD Authorized official

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1689541096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 KATELLA AVE STE 100",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203178",
            "telephone_number": "562-795-5900",
            "fax_number": "562-795-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 KATELLA AVE STE 100",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203178",
            "telephone_number": "562-795-5900",
            "fax_number": "562-795-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMELIA MALLAK DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "MALLAK",
        "authorized_official_first_name": "KAMELIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "310-633-1337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Joseph Kabbany, M.D.
• Chessa Kabiling
• Saloni Kadakia, DO
• Eugene Thomas Kahn, MD
• Darby London Kaiser, D.D.S.
• Estelle Kamuyu
• Ashley Kandu, AGNP
• Robert Alan Kaplan, M.D.
• Karen E. Koe M.D., Inc
• Sheida A Kashani, D.O.

• Dentist in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.