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NPI Code Detail

MEDICARE: KAYA TIFFANY MALONE

MEDICARE: KAYA TIFFANY MALONE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCA

General Provider Information

NPI Number : 1033601828
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYA TIFFANY MALONE
Provider Business Mailing Address
First Line : 6659 THORNWOOD ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-4136
Country : US
Telephone Number : 619-366-1736
Fax Number :
Provider Business Practice Location Address
First Line : 1341 N ESCONDIDO BLVD
Second Line :
City : ESCONDIDO
State : CA
Zip : 92026-2507
Country : US
Telephone Number : 760-578-2977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2018
Last Update Date : 01/30/2026

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Directions to “ KAYA TIFFANY MALONE ” Practice Location

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