SearchCalifornia1223X0008X

Sanjay Mallya, B.D.S

NPI 1538158043 · on the registry since 2005

Practice

Address
10833 Le Conte Ave
Chs 10-165
Los Angeles, CA 90095
Phone
(310) 825-5634
Fax
(310) 206-2748
Organisation at this address
Ucla
Ucla
Bert J Thomas, Md
Ucla Medical Group
Ucla Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
671

Registry record

Primary taxonomy
1223X0008X
1223X0008X
Also registered as
1223X0008X
Licence states on file
CT, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-03-02

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