MEDICARE: DR. JEFFREY J MALONE DC

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	111NN1001X	Nutrition Chiropractor	23895	CA

General Provider Information

NPI Number	:	1851469217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY J MALONE DC

Provider Business Mailing Address
First Line	:	4418 VINELAND AVE
Second Line	:	STE 215
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91602-2159
Country	:	US
Telephone Number	:	818-752-1136
Fax Number	:

Provider Business Practice Location Address
First Line	:	4418 VINELAND AVE
Second Line	:	STE 215
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91602-2159
Country	:	US
Telephone Number	:	818-752-1136
Fax Number	:

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

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	11/07/2019

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