Healthcare Provider Details

I. General information

NPI: 1962909309
Provider Name (Legal Business Name): SABA AFREEN MALIK MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2018
Last Update Date: 01/16/2022
Certification Date: 01/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1569 SLOAT BLVD
SAN FRANCISCO CA
94132-1256
US

IV. Provider business mailing address

31333 BARET CT
TEMECULA CA
92591-2024
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-9339
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA164882
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: