Organization Active NPI

Hala Koudsi M.D., Inc

  • Dermatology Physician
  • Torrance, CA
National Provider Identifier
1831464403
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A38441 Issued in CA
Legal business name
HALA KOUDSI M.D., INC
Practice address
3655 Lomita Blvd
Suite 215
Torrance, CA 90505-3931
Phone
(310) 378-8885
Fax
(310) 378-4248
NPI assigned
Mar 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Ms. Hala Koudsi M.D., M.D.
Title
Owner
Phone
(310) 378-8885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X A38441 CA Primary

Addresses

Primary practice location

3655 Lomita Blvd
Suite 215
Torrance, CA 90505-3931

Mailing address

3655 Lomita Blvd
Suite 215
Torrance, CA 90505-3931
Phone (310) 378-8885

National Provider Directory

National Provider Directory

Locations

3655 Lomita Blvd
Ste 215
Torrance, CA 90505
Phone (310) 378-8885

Practitioners & affiliated clinicians

Practitioners 1

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": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1831464403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD",
            "address_2": "SUITE 215",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053931",
            "telephone_number": "310-378-8885",
            "fax_number": "310-378-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD",
            "address_2": "SUITE 215",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053931",
            "telephone_number": "310-378-8885",
            "fax_number": "310-378-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALA KOUDSI M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "KOUDSI M.D.",
        "authorized_official_first_name": "HALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-378-8885",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A38441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.