Provider Demographics
NPI:1366605784
Name:MALIK, ARSALAN (MD)
Entity type:Individual
Prefix:MR
First Name:ARSALAN
Middle Name:
Last Name:MALIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1223 WILSHIRE BLVD
Mailing Address - Street 2:STE #451
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403
Mailing Address - Country:US
Mailing Address - Phone:424-259-2673
Mailing Address - Fax:310-684-2657
Practice Address - Street 1:2730 WILSHIRE BLVD
Practice Address - Street 2:STE #630
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403
Practice Address - Country:US
Practice Address - Phone:424-259-2673
Practice Address - Fax:310-684-2657
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA119853163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health