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NPI Code Detail

MEDICARE: MALIK SUMMERS

MEDICARE: MALIK SUMMERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1003629346
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALIK SUMMERS
Provider Business Mailing Address
First Line : 11705 DEPUTY YAMAMOTO PL
Second Line :
City : LYNWOOD
State : CA
Zip : 90262-4031
Country : US
Telephone Number : 323-242-5000
Fax Number :
Provider Business Practice Location Address
First Line : 11705 DEPUTY YAMAMOTO PL
Second Line :
City : LYNWOOD
State : CA
Zip : 90262-4031
Country : US
Telephone Number : 323-242-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2025
Last Update Date : 01/08/2026

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Directions to “ MALIK SUMMERS ” Practice Location

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