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General NPI Number Information
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NPI Number | 1407041197
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Entity Type | Individual
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Provider Name | JOSEPH G MALLON MD
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Gender | Male
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 900 HYDE ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-4806
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Country | US
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Telephone | 415-353-6817
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 470054
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City | SAN FRANCISCO
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State | CA
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Zip | 94147-0054
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Country | US
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Telephone | 888-962-7550
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Fax | 818-408-4972
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | A97574
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A97574
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License Number State | CA
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