Individual provider · Type 1 NPI

Jazlene Elleze Medina Mallari, DO

Student in an Organized Health Care Education/Training Program · Oakland, CA

NPI number 1093653172 Active

Practice location

275 W Macarthur Blvd
Oakland, CA 94611-5641

Call (510) 752-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093653172

Jazlene Elleze Medina Mallari, DO's National Provider Identifier is 1093653172, issued on Mar 23, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oakland, CA. The record was last updated on Mar 23, 2026.