Individual provider · Type 1 NPI
Cheyanne Mallas, PHYSICIAN ASSISTANT
Surgical Physician Assistant · West Hollywood, CA
NPI number
1750570255
Active
Practice location
950 N Kings Rd, Suite 221
West Hollywood, CA 90069-4352
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 1076908 (CA) |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in West Hollywood
About NPI 1750570255
Cheyanne Mallas, PHYSICIAN ASSISTANT's National Provider Identifier is 1750570255, issued on Oct 19, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in West Hollywood, CA. The record was last updated on May 27, 2008.