Hallak, Antoine

Hallak, Antoine is an individual health care provider with primary practice located at 16766 Bernardo Center Dr Suite 109, San Diego CA 92128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Hallak, Antoine can be contacted via phone (858) 592-9200.

Contact Information

Primary practice address
16766 Bernardo Center Dr Suite 109 San Diego CA 92128
Phone: (858) 592-9200
Fax: (858) 592-9218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X A87305 California

Profile Details

NPI number 1811058415
LBN Legal business name Hallak, Antoine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811058415 NPPES
California MEDICAID 00A873050

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