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ANTOINE HALLAK MD INC NPI 1407925597


NPI Information

NPI: 1407925597
Provider Name: ANTOINE HALLAK MD, INC

Doing Business As: SAN DIEGO INSTITUTE OF PLASTIC SURGERY

Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
16766 BERNARDO CENTER DR
SUITE 109
SAN DIEGO, CA
ZIP 92128
Phone: (858) 592-9200
Get Directions

ANTOINE HALLAK MD, INC is a plastic surgery in San Diego, CA. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. ANTOINE HALLAK MD, INC NPI is 1407925597. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As San Diego Institute Of Plastic Surgery.

The provider's business location address is:

16766 BERNARDO CENTER DR
SUITE 109
SAN DIEGO, CA
ZIP 92128-545
Phone: (858) 592-9200
Fax: (858) 592-9218

The provider's authorized official is Antoine Hallak .
The authorized official title is Owner and has the following contact phone number (858) 592-9200.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 3/19/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208200000XPlastic SurgeryA87305CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W18521MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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