# DAVID S. HALLEGUA, MD, A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DAVID S. HALLEGUA, MD, A PROFESSIONAL CORPORATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598003725
- **Legal business name:** DAVID S. HALLEGUA, MD, A PROFESSIONAL CORPORATION
- **Authorized official:** DR. DAVID S. HALLEGUA MD (PRESIDENT)
- **Authorized official phone:** (310) 652-0928

## Contact information

- **Practice address:** 8641 WILSHIRE BLVD, SUITE 301, BEVERLY HILLS, CA 90211-2900
- **Practice address phone:** (310) 652-0928
- **Mailing address:** 8641 WILSHIRE BLVD STE 301, BEVERLY HILLS, CA 90211-2921
- **Mailing address phone:** (310) 652-0928
- **Mailing address fax:** (310) 659-2841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 01/23/2013
- **Last updated:** 03/17/2020