Eli William Hallak, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

200 Foothill Blvd
La Canada, CA 91011-3700

Phone

(818) 790-0325

NPI assigned

Apr 17, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740244656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FOOTHILL BLVD",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910113700",
            "telephone_number": "818-790-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FOOTHILL BLVD",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910113700",
            "telephone_number": "818-790-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLAK",
        "first_name": "ELI",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa J Greco, LMFT
• Nune Grigorian, D.D.S.
• Kristina Grubbs, MS, BCBA
• Natascha Kontny Gundersen, LICSW
• Satish Steve Gupta, M.D.
• Farhad Hamidi, DC
• Christine Hanna, M.D.
• Clifford Thomas Hartman Jr., M.D.
• Hillary Lynne Haynes, MFT
• Healthylife MG Corp (St Gianna Medical Group)

• Athletic Trainer in La Canada, CA
• Providers in La Canada, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.