Organization Active NPI

Batal Laser, Inc.

  • Procedural Dermatology Physician
  • Santa Monica, CA
National Provider Identifier
1104665744
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
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

Updated by the provider on May 31, 2024

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)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100095876MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.