Provider Demographics
NPI:1750845483
Name:MALAN, JANEE (PA-C)
Entity type:Individual
Prefix:
First Name:JANEE
Middle Name:
Last Name:MALAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 N MAPLE DR
Mailing Address - Street 2:STE 318
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90067-2011
Mailing Address - Country:US
Mailing Address - Phone:310-277-9534
Mailing Address - Fax:
Practice Address - Street 1:345 N MAPLE DR STE 318
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5197
Practice Address - Country:US
Practice Address - Phone:310-935-4065
Practice Address - Fax:310-935-4075
Is Sole Proprietor?:No
Enumeration Date:2019-01-28
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
CA56502363AM0700X
CAPA56502363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical