Provider Demographics
NPI:1730519075
Name:STERLING L MALISH, PC
Entity type:Organization
Organization Name:STERLING L MALISH, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STERLING
Authorized Official - Middle Name:LEAF
Authorized Official - Last Name:MALISH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-424-3368
Mailing Address - Street 1:952 S CLOVERDALE AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-4817
Mailing Address - Country:US
Mailing Address - Phone:323-424-3368
Mailing Address - Fax:
Practice Address - Street 1:952 S CLOVERDALE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-4817
Practice Address - Country:US
Practice Address - Phone:323-424-3368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-22
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty