Healthcare Provider Details

I. General information

NPI: 1801545629
Provider Name (Legal Business Name): SHEILA MALEKIAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2022
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58375 29 PALMS HWY
YUCCA VALLEY CA
92284-5813
US

IV. Provider business mailing address

6530 LA CONTENTA RD STE 100
YUCCA VALLEY CA
92284-7313
US

V. Phone/Fax

Practice location:
  • Phone: 760-365-9305
  • Fax:
Mailing address:
  • Phone: 760-365-9305
  • 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 NumberA190306
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: