Healthcare Provider Details

I. General information

NPI: 1699658070
Provider Name (Legal Business Name): MALACHIA ELIZEBETH ANN BYRD I CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2025
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3533 MOTOR AVE
LOS ANGELES CA
90034-4806
US

IV. Provider business mailing address

5246 BLACKWELDER ST.
LOS ANGELES CA
90016-3479
US

V. Phone/Fax

Practice location:
  • Phone: 310-836-8900
  • Fax:
Mailing address:
  • Phone: 424-448-6627
  • Fax: 424-448-6627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number01293319
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: