Healthcare Provider Details

I. General information

NPI: 1275282600
Provider Name (Legal Business Name): COURTNEY CYRIL MALONEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS COURTNEY CYRIL HSU

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 E CAMPBELL AVE STE 170
CAMPBELL CA
95008-2001
US

IV. Provider business mailing address

51 E CAMPBELL AVE STE 170
CAMPBELL CA
95008-2001
US

V. Phone/Fax

Practice location:
  • Phone: --
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA189400
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number189400
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: