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General NPI Number Information
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NPI Number | 1841220571
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Entity Type | Individual
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Provider Name | MAGIE M. MALARO MD
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | 703 PIER AVE SUITE B138
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City | HERMOSA BEACH
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State | CA
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Zip | 90254-3949
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Country | US
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Telephone | 310-376-8116
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Fax | 310-376-8166
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Provider Business Mailing Address
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Address Line | 703 PIER AVE SUITE B138
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City | HERMOSA BEACH
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State | CA
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Zip | 90254-3949
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Country | US
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Telephone | 310-376-8116
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Fax | 310-376-8166
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G85145
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License Number State | CA
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