Dominique Mall,md,inc
NPI 1053465062 · Nephrology Physician · Marina Del Rey, CA
Dominique Mall,md,inc is a Nephrology Physician organization in Marina Del Rey, CA (NPI 1053465062).
Provider details
- NPI number
- 1053465062
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dominique Mall, President(310) 902-8947
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-23
- Last updated
- 2011-08-24
Frequently asked questions
- What is Dominique Mall,md,inc's NPI number?
- Dominique Mall,md,inc's National Provider Identifier (NPI) is 1053465062, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dominique Mall,md,inc?
- Dominique Mall,md,inc is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Dominique Mall,md,inc located?
- Dominique Mall,md,inc's practice location on file with NPPES is 13911 Old Harbor Ln, Marina Del Rey, CA 90292-7395.
- What is Dominique Mall,md,inc's phone number?
- The practice phone number listed in the NPPES registry for Dominique Mall,md,inc is (310) 577-9547.
- Who is the authorized official for Dominique Mall,md,inc?
- The authorized official listed on Dominique Mall,md,inc's NPPES record is Dominique Mall, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dominique Mall,md,inc's NPI active?
- Yes — Dominique Mall,md,inc's NPI (1053465062) is active in the NPPES registry as of the last update on 2011-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.