Healthcare Provider Details

I. General information

NPI: 1295888055
Provider Name (Legal Business Name): MALIN PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 01/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 FOOTHILL RD
BEVERLY HILLS CA
90210-3404
US

IV. Provider business mailing address

606 FOOTHILL RD
BEVERLY HILLS CA
90210-3404
US

V. Phone/Fax

Practice location:
  • Phone: 310-274-2349
  • Fax: 310-274-6282
Mailing address:
  • Phone: 310-274-2349
  • Fax: 310-274-6282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS524
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC1818
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberG1611
License Number StateCA

VIII. Authorized Official

Name: DR. ARTHUR MALIN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 310-274-2349