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Search › California › 225400000X

Malik Nasution

NPI 1528195708 · on the registry since 2007 · sole proprietor

Practice

Address
550 S Vermont Ave
Los Angeles, CA 90020
Phone
(213) 738-4606
Organisation at this address
Genesis
Department Of Mental Health
Department Of Mental Health
Department Of Mental Health
La County Department Of Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
377

Registry record

Primary taxonomy
225400000X
225400000X
Also registered as
171M00000X
Sex
Male
Record last updated
2025-09-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California