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

Jerry B Malleus, DDS Inc

Organization Dentist · NPI 1922498302

Jerry B Malleus, DDS Inc is a Dentist in San Fernando, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
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

125 S Brand Blvd
San Fernando, CA 91340-3304
Phone: (818) 365-6321
Fax: (818) 365-0011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 24826 (CA)

Record details

NPI number1922498302
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Malleus — Pres. · (818) 832-5102
NPI enumeratedJanuary 23, 2015
Last updated in NPPESJanuary 23, 2015
Mailing address125 S Brand Blvd, San Fernando, CA 91340-3304

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