Individual provider · Type 1 NPI

Mia Malvestuto, DO

Adult Medicine Physician · San Diego, CA

NPI number 1134816168 Active

Practice location

8975 Balboa Ave
San Diego, CA 92123-1507

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X20A24550 (CA)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

8 other providers at this address

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About NPI 1134816168

Mia Malvestuto, DO's National Provider Identifier is 1134816168, issued on Apr 19, 2023. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in San Diego, CA. The record was last updated on Sep 11, 2026.