Healthcare Provider Details

I. General information

NPI: 1265020127
Provider Name (Legal Business Name): MALIN MEDICAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2021
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1780 N STATE ROUTE 89
CHINO VALLEY AZ
86323-5695
US

IV. Provider business mailing address

1780 N STATE ROUTE 89
CHINO VALLEY AZ
86323-5695
US

V. Phone/Fax

Practice location:
  • Phone: 928-460-5214
  • Fax: 928-632-4973
Mailing address:
  • Phone: 928-460-5214
  • Fax: 928-441-2915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SUE DENZ
Title or Position: OWNER
Credential:
Phone: 928-710-5851