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

Kerollos Makrmalla, ATC

Individual provider Athletic Trainer · NPI 1700461480

Kerollos Makrmalla, ATC is an Athletic Trainer in Fountain Valley, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

17272 Newhope St
Fountain Valley, CA 92708-4210
Phone: (714) 942-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2000038431 (CA)

Record details

NPI number1700461480
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedMarch 14, 2021
Last updated in NPPESMarch 14, 2021
Certification dateMarch 14, 2021

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