DR. SANJAY M MALLYA B.D.S.
NPI 1538158043
Dentist - Oral and Maxillofacial Radiology in Los Angeles, CA

Active since October 18, 2005
10833 LE CONTE AVE, CHS 10-165, LOS ANGELES, CA 90095(310) 825-5634(310) 206-2748 Get Directions Write a Review

NPPES record last updated: March 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sanjay M Mallya B.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SANJAY M MALLYA B.D.S. (NPI 1538158043) is an individual oral and maxillofacial radiology provider in Los Angeles, California, licensed in California (SP-251) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1538158043
Entity TypeIndividualMale
Primary Taxonomy1223X0008X
Provider Legal NameDR. SANJAY M MALLYACredential: B.D.S.
Location Address10833 LE CONTE AVE, CHS 10-165Los Angeles, CA 90095-1668
Mailing AddressP.o. Box 951668, Chs 10-165Los Angeles, CA 90095-1668 · (860) 679-2453 · Fax (860) 679-2756
Fax(310) 206-2748
Sole ProprietorNo
Enumeration DateOctober 18, 2005
Last NPPES UpdateMarch 2, 2010
NPI 1538158043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial RadiologyDental Providers
Taxonomy Code1223X0008X
Licenses Licensed in CA · SP-251 Licensed in CT · 9026
Definition
The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.
10833 LE CONTE AVE, Los Angeles, CA 90095

Other Identifiers 1

Medicaid004010807CT

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Infectious Disease)
10833 LE CONTE AVE, CHS 37-121
LOS ANGELES, CA 90095
Pathology (Anatomic Pathology & Clinical Pathology)
10833 LE CONTE AVE, STE B-186 CHS
LOS ANGELES, CA 90095
Pathology (Anatomic Pathology)
10833 LE CONTE AVE, STE B-186 CHS
LOS ANGELES, CA 90095
Radiology (Diagnostic Radiology)
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Radiology (Diagnostic Radiology)
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Anesthesiology
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Radiology (Diagnostic Radiology)
10833 LE CONTE AVE, DEPARTMENT OF RADIOLOGY
LOS ANGELES, CA 90095
Internal Medicine
10833 LE CONTE AVE
LOS ANGELES, CA 90095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanjay Mallya's NPI number?

The NPI number for Sanjay Mallya is 1538158043. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Sanjay Mallya located?

Sanjay Mallya practices at 10833 Le Conte Ave Chs 10-165, Los Angeles, CA 90095. The listed phone number is (310) 825-5634.

What is Sanjay Mallya's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Radiology, with taxonomy code 1223X0008X.

When was this NPI record last updated?

The NPPES record for Sanjay Mallya was last updated on March 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.