Healthcare Provider Details

I. General information

NPI: 1477499283
Provider Name (Legal Business Name): ARMEN MALKHASIAN MD INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 W 13TH AVE
ESCONDIDO CA
92025-5511
US

IV. Provider business mailing address

1054 CRESTLINE RD
SAN MARCOS CA
92069-7391
US

V. Phone/Fax

Practice location:
  • Phone: 818-521-2418
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ARMEN MASIS MALKHASIAN
Title or Position: OWNER
Credential:
Phone: 818-521-2418