MEDICARE: MS. SONIA MALEK

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
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1093148116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SONIA MALEK

Provider Business Mailing Address
First Line	:	238 JACARANDA DR
Second Line	:
City	:	HAYWARD
State	:	CA
Zip	:	94544-3514
Country	:	US
Telephone Number	:	510-432-4566
Fax Number	:

Provider Business Practice Location Address
First Line	:	20585 WISTERIA ST
Second Line	:
City	:	CASTRO VALLEY
State	:	CA
Zip	:	94546-5522
Country	:	US
Telephone Number	:	510-279-4953
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2013
Last Update Date	:	07/23/2019

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