Search › California › 207R00000X
Konstantin Malley
NPI 1932661105 · on the registry since 2019
Practice
- Address
- 7355 N Palm Ave Ste 100
Fresno, CA 93711 - Phone
- (559) 271-6301
- Fax
- (559) 271-6317
- Organisation at this address
- Fox Drug Store Inc
Northwest Medical Pharmacy
Isaiah Fuson Optometry Corporation
Northwest Optometry Associates, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Additional practice sites
- 625 Innovation Dr, Reno, NV
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
208M00000X
390200000X - Licence states on file
- NV, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-24
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