Individual
DR. GREGORY HALLERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD, LOS ANGELES, CA 90048-1865
(310) 423-8600
(310) 967-1800
Mailing address
PO BOX 51258, LOS ANGELES, CA 90051-5558
(310) 423-8600
(310) 967-1800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A73357
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
A73357
CA
207Q00000X
Family Medicine Physician
A73357
CA
Other
Enumeration date
09/23/2005
Last updated
08/14/2014
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