Antoine Hallak MD, Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A87305 Issued in CA

Legal business name

ANTOINE HALLAK MD, INC

Doing business as

San Diego Institute of Plastic Surgery

Practice address

16766 Bernardo Center Dr
Suite 109
San Diego, CA 92128-2545

Phone

(858) 592-9200

Fax

(858) 592-9218

NPI assigned

Nov 6, 2006

Last updated

Mar 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Antoine Hallak, M.D.NPI 1811058415

Title

Owner

Phone

(858) 592-9200

Specialties & licenses 1

Addresses

Other names 1

• San Diego Institute of Plastic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Antoine Hallak, M.D.

  • Plastic Surgery Physician
  • San Diego, CA
  • NPI 1811058415
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1407925597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16766 BERNARDO CENTER DR",
            "address_2": "SUITE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282545",
            "telephone_number": "858-592-9200",
            "fax_number": "858-592-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16766 BERNARDO CENTER DR",
            "address_2": "SUITE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282545",
            "telephone_number": "858-592-9200",
            "fax_number": "858-592-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTOINE HALLAK MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "HALLAK",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-592-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A87305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Institute of Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Jean Anthony, RAD1
• Sharon Anthony, NP
• Roanne Antikoll, RN
• Antin Sachs (Comfort Keepers)
• Gregory T Antkowiak, MD
• Troy Antoine
• Caroline Frances Anton, MA
• Cecilia Anton
• Ashley Antone, BA, MA
• Kansas Antone

• Plastic Surgery Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.