Individual
ANTOINE HALLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16766 BERNARDO CENTER DR, SUITE 109, SAN DIEGO, CA 92128
(858) 592-9200
(858) 592-9218
Mailing address
16766 BERNARDO CENTER DR, SUITE 109, SAN DIEGO, CA 92128-2501
(858) 592-9200
(858) 592-9218
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A87305
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A873050
—
CA
Enumeration date
12/13/2006
Last updated
07/08/2007
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