Healthcare Provider Details
I. General information
NPI: 1841978004
Provider Name (Legal Business Name): ABRAHAM MALKIN, M.D. BETTER U, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/07/2023
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17822 BEACH BLVD STE 321
HUNTINGTON BEACH CA
92647-7170
US
IV. Provider business mailing address
17822 BEACH BLVD STE 321
HUNTINGTON BEACH CA
92647-7170
US
V. Phone/Fax
- Phone: 725-888-8992
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QA0401X |
| Taxonomy | Addiction Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ZAID
FADUL
Title or Position: MD
Credential: MD
Phone: 725-888-8992