Healthcare Provider Details

I. General information

NPI: 1760312482
Provider Name (Legal Business Name): DENNIS FAUSTINO MALABANAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47001 PALA RD
TEMECULA CA
92592-2925
US

IV. Provider business mailing address

31283 LOCUST CT
TEMECULA CA
92592-6863
US

V. Phone/Fax

Practice location:
  • Phone: 951-676-6810
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: