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Justin Eli Mallit, PA-C
Medical Physician Assistant in El Cajon, California
NPI 1801141163

Justin Eli Mallit is a Medical Physician Assistant based in Escondido, CA and is specialized in Medical. Justin Eli Mallit practices in El Cajon, CA and has the professional credentials of PA-C. The NPI Number for Justin Eli Mallit is 1801141163 and holds a License No. PA22408 (California).

The current practice location address for Justin Eli Mallit is 855 E Madison Ave, El Cajon, CA and can be reached out via phone at 619-440-2751.

Location: 855 E Madison Ave, El Cajon, CA, 92025-3413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801141163
Provider Name
Justin Eli Mallit
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
855 E Madison Ave, El Cajon, CA, 92025-3413
Phone Number
619-440-2751
Fax Number
Provider Enumeration Date
07/23/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W14158 01 CA GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
855 E Madison Ave
City
El Cajon
State
California
Zip
92020-3819
Phone Number
619-440-2751
Fax Number
person
Provider Business Mailing Address Details
Address
855 E Madison Ave
City
El Cajon
State
California
Zip
92020-3819
Phone Number
619-440-2751
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA22408 (California)
Definition
Definition to come...
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