Provider Demographics
NPI:1700177045
Name:MALMIN, KAROLYN JANE (CPD)
Entity type:Individual
Prefix:MRS
First Name:KAROLYN
Middle Name:JANE
Last Name:MALMIN
Suffix:
Gender:F
Credentials:CPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 MARINE VIEW AVE
Mailing Address - Street 2:SUITE 315
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-3969
Mailing Address - Country:US
Mailing Address - Phone:858-369-5930
Mailing Address - Fax:858-369-5951
Practice Address - Street 1:445 MARINE VIEW AVE
Practice Address - Street 2:SUITE 315
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-3969
Practice Address - Country:US
Practice Address - Phone:858-369-5930
Practice Address - Fax:858-369-5951
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No372600000XNursing Service Related ProvidersAdult Companion