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

Dr. Abdalla M Mallouk, MD

Individual provider Nephrology Physician · NPI 1558375790

Dr. Abdalla M Mallouk, MD is an Internal Medicine in Baldwin Park, California. Qualified in 2000, 26 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1011 Baldwin Park Blvd Kaiser Baldwin Park Nephrology Dept
Baldwin Park, CA 91706-5806
Phone: (310) 922-8916
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence A76945 (CA)

Record details

NPI number1558375790
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESNovember 29, 2021
Mailing address1011 Baldwin Park Blvd, Kaiser Baldwin Park Nephrology Dept, Baldwin Park, CA 91706-5806

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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