Organization · Type 2 NPI

Dominique Mall,md,inc

Nephrology Physician · Marina Del Rey, CA

NPI number 1053465062 Active

Practice location

13911 Old Harbor Ln, #306
Marina Del Rey, CA 90292-7395

Fax (310) 577-9547

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician Primary 207RN0300XNone listed

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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About NPI 1053465062

Dominique Mall,md,inc's National Provider Identifier is 1053465062, issued on Jan 23, 2007. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Marina Del Rey, CA. The record was last updated on Aug 24, 2011.