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Dominique Lucienne Mall, MD
Nephrology Physician in Mission Hills, California
NPI 1821043423

Dominique Lucienne Mall is a Nephrology Physician based in Mission Hills, CA and is specialized in Nephrology. Dominique Lucienne Mall practices in Mission Hills, CA and has the professional credentials of MD. The NPI Number for Dominique Lucienne Mall is 1821043423 and holds a License No. A86680 (California).

The current practice location address for Dominique Lucienne Mall is 11211 Sepulveda Blvd, Mission Hills, CA and can be reached out via phone at 818-365-9531.

Location: 11211 Sepulveda Blvd, Mission Hills, CA, 91346-9602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821043423
Provider Name
Dominique Lucienne Mall
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
11211 Sepulveda Blvd, Mission Hills, CA, 91346-9602
Phone Number
818-365-9531
Fax Number
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0A8668000 05 CA
institution
Provider Business Practice Location Address Details
Address
11211 Sepulveda Blvd
City
Mission Hills
State
California
Zip
91345-1115
Phone Number
818-365-9531
Fax Number
person
Provider Business Mailing Address Details
Address
11211 Sepulveda Blvd
City
Mission Hills
State
California
Zip
91345-1115
Phone Number
818-365-9531
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
A86680 (California)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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