NPIMap

Organization Active NPI

Samir B Halaka DDS, Inc

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1104967223
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
BY37115 Issued in CA
Legal business name
SAMIR B HALAKA DDS, INC
Practice address
6767 W Sunset Blvd
Suite 25
Los Angeles, CA 90028-7177
Phone
(323) 469-8816
Fax
(323) 469-2679
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Samir Barsoume Halaka, D.D.S.NPI 1760881619
Title
President
Phone
(323) 469-8816

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X BY37115 CA Primary

Addresses

Primary practice location

6767 W Sunset Blvd
Suite 25
Los Angeles, CA 90028-7177

Mailing address

6767 W Sunset Blvd
Suite 25
Los Angeles, CA 90028-7177
Phone (323) 469-8816

Other identifiers 1

IdentifierTypeStateIssuer
B37115-01OtherCAMEDICAL

National Provider Directory

National Provider Directory

Locations

6767 W Sunset Blvd
Ste 25
Los Angeles, CA 90028
Phone (323) 469-8816

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1104967223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 W SUNSET BLVD",
            "address_2": "SUITE 25",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287177",
            "telephone_number": "323-469-8816",
            "fax_number": "323-469-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 W SUNSET BLVD",
            "address_2": "SUITE 25",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287177",
            "telephone_number": "323-469-8816",
            "fax_number": "323-469-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMIR B HALAKA DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "HALAKA",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "BARSOUME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-469-8816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "BY37115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "B37115-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.