Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Dominique Mall,MD,Inc

Nephrology Physician in Marina Del Rey, CA · enumerated 2007 · authorized official Dominique Mall, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053465062

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Registry record

Entity type Organization (Type 2)

Legal business name Dominique Mall,MD,Inc

Practice address 13911 Old Harbor Ln, #306, Marina Del Rey, CA, 90292

Phone (310) 577-9547

Fax (310) 577-9547

Enumeration date Jan 23, 2007

Last updated in NPPES Aug 24, 2011

Taxonomy & classification

207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Dominique Mall

Title President

Phone (310) 902-8947

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Dominique Mall,MD,Inc located?

The practice location on file with NPPES is in Marina Del Rey, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-08-24. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-08-24.