Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominique Mall, MD, Inc

Organization Nephrology Physician · NPI 1053465062

Dominique Mall, MD, Inc is a Nephrology Physician in Marina del Rey, California. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13911 Old Harbor Ln #306
Marina del Rey, CA 90292-7395
Phone: (310) 577-9547
Fax: (310) 577-9547
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1053465062
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dominique Mall — President · (310) 902-8947
NPI enumeratedJanuary 23, 2007
Last updated in NPPESAugust 24, 2011
Mailing address13911 Old Harbor Ln, 306, Marina Del Rey, CA 90292-7395

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