Healthcare Provider Details

I. General information

NPI: 1750845483
Provider Name (Legal Business Name): JANEE MALAN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2019
Last Update Date: 09/02/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 N MAPLE DR STE 318
BEVERLY HILLS CA
90210-5197
US

IV. Provider business mailing address

345 N MAPLE DR STE 318
LOS ANGELES CA
90067-2011
US

V. Phone/Fax

Practice location:
  • Phone: 310-935-4065
  • Fax: 310-935-4075
Mailing address:
  • Phone: 310-277-9534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number56502
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA56502
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: