Active NPI
Batal Laser, Inc.
- Procedural Dermatology Physician
- Santa Monica, CA
National Provider Identifier
1104665744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- Legal business name
- BATAL LASER, INC.
- Practice address
- 1423 2ND St Ste 100
Santa Monica, CA 90401-2323 - Phone
- (310) 714-8896
- Fax
- (310) 388-1193
- NPI assigned
- May 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Obaida Batal, MD
- Title
- Medical Director/President
- Phone
- (310) 714-8896
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | Primary |
Addresses
Primary practice location
1423 2ND St Ste 100
Santa Monica, CA 90401-2323
Mailing address
1423 2ND St Ste 100
Santa Monica, CA 90401-2323
Phone (310) 714-8896
Other practice location 1
32406 Coast Hwy Ste 100
Laguna Beach, CA 92651-6783
Phone (310) 714-8896
Other practice location 2
10884 Santa Monica Blvd Ste 201
Los Angeles, CA 90025-4646
Phone (310) 714-8896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100095876 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
32406 Coast Hwy
Ste 100
Laguna Beach, CA 92651
Phone (310) 714-8896
10884 Santa Monica Blvd
Ste 201
Los Angeles, CA 90025
Phone (310) 714-8896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717113600000",
"number": "1104665744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1423 2ND ST STE 100",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904012323",
"telephone_number": "310-714-8896",
"fax_number": "310-388-1193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1423 2ND ST STE 100",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904012323",
"telephone_number": "310-714-8896",
"fax_number": "310-388-1193"
}
],
"practiceLocations": [
{
"address_1": "32406 Coast Hwy Ste 100",
"address_purpose": "LOCATION",
"city": "Laguna Beach",
"state": "CA",
"postal_code": "926516783",
"country_code": "US",
"telephone_number": "310-714-8896",
"fax_number": "310-230-5711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10884 Santa Monica Blvd Ste 201",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900254646",
"country_code": "US",
"telephone_number": "310-714-8896",
"fax_number": "310-230-5711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BATAL LASER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-22",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A",
"authorized_official_last_name": "BATAL",
"authorized_official_first_name": "OBAIDA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR/PRESIDENT",
"authorized_official_telephone_number": "310-714-8896",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100095876",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.