Organization
DAVID S HALLEGUA M.D., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S HALLEGUA MD (OWNER)
(310) 652-0928
Entity
Organization
Contact information
Practice address
8641 WILSHIRE BLVD, STE 301, BEVERLY HILLS, CA 90211-2921
(310) 652-0928
(310) 659-2841
Mailing address
8641 WILSHIRE BLVD, STE 301, BEVERLY HILLS, CA 90211-2900
(310) 652-0928
(310) 659-2841
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GU602Z
MEDICARE PTAN
CA
Enumeration date
11/01/2006
Last updated
03/17/2020
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