Healthcare Provider Details

I. General information

NPI: 1427738772
Provider Name (Legal Business Name): RENA MALIK MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2023
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 WESTCLIFF DR STE 201
NEWPORT BEACH CA
92660-5518
US

IV. Provider business mailing address

2108 N ST STE 5892
SACRAMENTO CA
95816-5712
US

V. Phone/Fax

Practice location:
  • Phone: 949-610-0866
  • Fax: 949-569-9609
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2088F0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RENA MALIK
Title or Position: PHYSICIAN
Credential: MD
Phone: 949-610-0866