MEDICARE: ARIEL MALAMUD MD

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	207RG0100X	Gastroenterology Physician	A75407	CA

General Provider Information

NPI Number	:	1518032218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIEL MALAMUD MD

Provider Business Mailing Address
First Line	:	1513 S GRAND AVE
Second Line	:	SUITE 330
City	:	LOS ANGELES
State	:	CA
Zip	:	90015-3070
Country	:	US
Telephone Number	:	213-440-2040
Fax Number	:	213-234-4516

Provider Business Practice Location Address
First Line	:	1513 S GRAND AVE
Second Line	:	SUITE 330
City	:	LOS ANGELES
State	:	CA
Zip	:	90015-3070
Country	:	US
Telephone Number	:	213-440-2040
Fax Number	:	213-234-4516

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

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	04/08/2020

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Practice Fax: 213-234-4516

Directions to “ ARIEL MALAMUD MD” Practice Location

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