IndividualActive
Sanjay Mallya, B.D.S.
NPI 1538158043 · Oral and Maxillofacial Radiology Dentistry · Los Angeles, CA
Provider details
- NPI number
- 1538158043
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Radiology DentistryDental Providers
- Credential
- B.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 9026 (CT)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
10833 Le Conte Ave
Chs 10-165
Los Angeles, CA 90095-1668
Phone: (310) 825-5634
Fax: (310) 206-2748
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 951668
Los Angeles, CA 90095-1668
Registry dates
- Enumerated
- 2005-10-18
- Last updated
- 2010-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.