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Contact Information

LARRY P MALVEAUX, PA-C
11301 WILSHIRE BLVD.
MC-149
LOS ANGELES, CA90073
 Phone: 310-478-3711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LARRY P MALVEAUX · (Male)

NPI Number 1629019906
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/09/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # PA13229
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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