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General NPI Number Information
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NPI Number | 1356223895
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Entity Type | Organization
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Legal Business Name | NICOLAS MAALOUF DO MEDICAL CORP
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 520 S BUENA VISTA ST
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City | BURBANK
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State | CA
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Zip | 91505
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Country | US
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Telephone | 818-843-5111
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Fax |
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Provider Business Mailing Address
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Address Line | 14622 VENTURA BLVD STE 102 PO BOX 713
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-3662
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | NICOLAS MAALOUF
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Credential |
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Telephone | 818-744-2291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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