Organization
ANTOINE HALLAK MD, INC
Active
Other names
San Diego Institute of Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTOINE HALLAK M.D. (OWNER)
(858) 592-9200
Entity
Organization
Contact information
Practice address
16766 BERNARDO CENTER DR, SUITE 109, SAN DIEGO, CA 92128-2545
(858) 592-9200
(858) 592-9218
Mailing address
16766 BERNARDO CENTER DR, SUITE 109, SAN DIEGO, CA 92128-2545
(858) 592-9200
(858) 592-9218
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A87305
CA
Other
Enumeration date
11/06/2006
Last updated
03/19/2013
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