Basic Information
| Provider Information | |||||||||
| NPI: | 1811070394 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MALIK | ||||||||
| FirstName: | NASEEM | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | RN, PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | P.O. BOX 4575 COVINA | ||||||||
| Address2: | |||||||||
| City: | COVINA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917234575 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7148658160 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1000 W. CARSON ST. | ||||||||
| Address2: | HARBOR UCLA MEDICAL CENTER | ||||||||
| City: | TORRANCE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 905092004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3106189687 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/20/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0808X | 432471 | CA | Y | Nursing Service Providers | Registered Nurse | Psych/Mental Health |
No ID Information.