Individual provider Active NPI

Hala Koudsi, M.D.

  • Specialist
  • Torrance, CA
National Provider Identifier
1912097775
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
AO38441 Issued in CA
Practice address
3655 Lomita Blvd Ste 215
Torrance, CA 90505-1916
Phone
(310) 378-8885
Fax
(310) 378-4248
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X AO38441 CA Primary

Addresses

Primary practice location

3655 Lomita Blvd Ste 215
Torrance, CA 90505-1916

Mailing address

3655 Lomita Blvd Ste 215
Torrance, CA 90505-1916
Phone (310) 378-8885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120904000703 CA Practitioner - Dermatology 1557518123 Receives reassigned benefits from 1 practitioner
Practice locations: Torrance, CA

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3655 Lomita Blvd
Suite 215
Torrance, CA 90505-1916
Phone (310) 378-8885

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of tissue29
Removal of skin lesions317
Removal of skin cancer1-10
Removal of nail tissue1-10
Removal or shaving of skin growth24
Skin biopsy127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AO38441CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health System - Southern California Past Accepting new patients
Hala Koudsi M.D., Inc PastSince Jan 1, 1973 Accepting new patients
Providence Health System Southern California Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Practitioners & affiliated clinicians

Practitioners 1

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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912097775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD STE 215",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905051916",
            "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 STE 215",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905051916",
            "telephone_number": "310-378-8885",
            "fax_number": "310-378-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUDSI",
        "first_name": "HALA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "AO38441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.