Ms Cheyanne Mallas, PHYSICIAN ASSISTANT | |
950 N Kings Rd, Suite 221, West Hollywood, CA 90069-4352 | |
(917) 478-3405 | |
Not Available |
Full Name | Ms Cheyanne Mallas |
---|---|
Gender | Female |
Speciality | Physician Assistant - Surgical |
Location | 950 N Kings Rd, West Hollywood, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750570255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AS0400X | Physician Assistant - Surgical | 1076908 (California) | Primary |
Mailing Address | Practice Location Address |
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Ms Cheyanne Mallas, PHYSICIAN ASSISTANT 950 N Kings Rd, Suite 221, West Hollywood, CA 90069-4352 Ph: (917) 478-3405 | Ms Cheyanne Mallas, PHYSICIAN ASSISTANT 950 N Kings Rd, Suite 221, West Hollywood, CA 90069-4352 Ph: (917) 478-3405 |
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