Organization
DAVID S. HALLEGUA, MD, A PROFESSIONAL CORPORATION
Active
Parent organization
DAVID S. HALLEGUA, MD, A PROFESSIONAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVID S. HALLEGUA, MD, A PROFESSIONAL CORPORATION
Authorized official
DR. DAVID S. HALLEGUA MD (PRESIDENT)
(310) 652-0928
Entity
Organization
Contact information
Practice address
8641 WILSHIRE BLVD, SUITE 301, BEVERLY HILLS, CA 90211-2900
(310) 652-0928
Mailing address
8641 WILSHIRE BLVD STE 301, BEVERLY HILLS, CA 90211-2921
(310) 652-0928
(310) 659-2841
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F30096
UPIN
CA
Enumeration date
01/23/2013
Last updated
03/17/2020
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