Healthcare Provider Details

I. General information

NPI: 1952509135
Provider Name (Legal Business Name): MEDELL KRISTEN BRIGGS-MALONSON M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2007
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 N CAMDEN DR STE 610
BEVERLY HILLS CA
90210-4416
US

IV. Provider business mailing address

433 N CAMDEN DR STE 610
BEVERLY HILLS CA
90210-4416
US

V. Phone/Fax

Practice location:
  • Phone: 310-902-8846
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA101101
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: