Irene Malek MD Professional Corporation

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

IRENE MALEK MD PROFESSIONAL CORPORATION

Practice address

3610 Atlantic Ave
Long Beach, CA 90807-3418

Phone

(562) 492-9288

Fax

(562) 595-9346

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Irene A Malek, MDNPI 1316984248

Title

President

Phone

(562) 492-9288

Specialties & licenses 3

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

Practitioners 2

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

• Irene A Malek, M.D.

  • Family Medicine Physician
  • Long Beach, CA
  • NPI 1316984248
  Medicare reassignment Authorized official
• Ayman Neoman, M.D.,

  • Surgery Physician
  • Long Beach, CA
  • NPI 1548207343
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636761600000",
    "number": "1982651006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1856",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907201856",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073418",
            "telephone_number": "562-492-9288",
            "fax_number": "562-595-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE MALEK MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2021-11-13",
        "certification_date": "2021-11-13",
        "status": "A",
        "authorized_official_last_name": "MALEK",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-492-9288",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira David Enterprises LLC
• Iraj Khalkhali, M.D., Inc.
• Iraj Nouri DDS Inc.
• Amir Iranmahboob, M.D.
• Joana Irazaba
• Irene P Leech MD Inc
• Julius Idowu Irumundomon, RCP
• Sireesha Iruvuri, M.D.
• Diane Irvine, LVN
• Christopher Robert Irwin

• Multi-Specialty Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2021; 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.