Individual provider · Type 1 NPI

Jon Mallen-St. Clair, MD

Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Los Angeles, CA

NPI number 1134410038 Active

Practice location

8635 W 3rd St Ste 590W
Los Angeles, CA 90048-6163

Call (310) 423-1220 Map

Fax (310) 423-1230

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary 207YX0007XA125470 (CA)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeri…

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About NPI 1134410038

Jon Mallen-St. Clair, MD's National Provider Identifier is 1134410038, issued on Apr 26, 2011. The primary taxonomy on file is Plastic Surgery within the Head & Neck (Otolaryngology) Physician (207YX0007X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 21, 2021.