| Litos O. Mallare, M.d., Inc. | |
|
23823 Malibu Rd Suite 50, #189 Malibu CA 90265-4628 | |
| (310) 650-8951 | |
| (310) 457-1082 |
| Full Name | Litos O. Mallare, M.d., Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 23823 Malibu Rd, Malibu, California |
| Authorized Official Name and Position | Litos O. Mallare (PSYCHIATRIST) |
| Authorized Official Contact | 3106508951 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Litos O. Mallare, M.d., Inc. 23823 Malibu Rd Suite 50, #189 Malibu CA 90265-4628 Ph: (310) 650-8951 | Litos O. Mallare, M.d., Inc. 23823 Malibu Rd Suite 50, #189 Malibu CA 90265-4628 Ph: (310) 650-8951 |
| NPI Number | 1932524485 |
|---|---|
| Provider Enumeration Date | 02/20/2014 |
| Last Update Date | 06/15/2015 |
| Medicare PECOS PAC ID | 2264662311 |
|---|---|
| Medicare Enrollment ID | O20140311001115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932524485 | NPI | - | NPPES |
| 00A693172 | Medicaid | CA | |
| ODA693170 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A69317 (California) | Primary |
| Provider Name | Litos O Mallare |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457351421 PECOS PAC ID: 0941498240 Enrollment ID: I20110103000100 |
Stuart A. Lerner Md Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3721 Oceanhill Way, Malibu, CA 90265 Phone: 310-459-8264 | |
Ca Rmh Physician Services, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23823 Malibu Rd # 50-386, Malibu, CA 90265 Phone: 800-366-8101 Fax: 561-697-4345 | |
Marriage And Family Research Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21225 Pch Suite A, Malibu, CA 90265 Phone: 949-280-1441 | |
Elements Medical Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20786 Cool Oak Way, Malibu, CA 90265 Phone: 424-235-2337 Fax: 310-943-0438 | |
Optum Behavioral Care Of California, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24903 Pacific Coast Hwy Ste 102, Malibu, CA 90265 Phone: 310-310-9249 Fax: 310-454-7240 | |
Malibu Outpatient Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 28955 Pacific Coast Hwy, Ste 210, Malibu, CA 90265 Phone: 310-579-6063 | |
Revitalizing Minds Project Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 31727 Mulholland Hwy, Malibu, CA 90265 Phone: 310-896-5233 |