Healthcare Provider Details

I. General information

NPI: 1740101344
Provider Name (Legal Business Name): LEE MALARA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1743 MIRO WAY
RIALTO CA
92376-8630
US

IV. Provider business mailing address

2315 CARSON RIVER RD
CARSON CITY NV
89701-9330
US

V. Phone/Fax

Practice location:
  • Phone: 909-356-2334
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN82345
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number95118512
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: