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Physician Compare National (NPI:1316033269)

HEALTHCARE PROVIDER: ALLAN EDWARD MALLINGER M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1316033269
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6800841990
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110606000195
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MALLINGER
Individual professional last name
Provider First Name ALLAN
Individual professional first name
Provider Middle Name EDWARD
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name NEW YORK MEDICAL COLLEGE
Individual professional's medical school
Graduation Year 1969
Individual professional's medical school graduation year
Primary Specialty PSYCHIATRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 3252 HOLIDAY CT
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 205
Group Practice or individual's line 2 address
City LA JOLLA
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 920371808
Group Practice or individual's zip code (9 digits when available)
Phone Number 6199943053
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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