Individual
DR. JAMES HALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 SAN PABLO ST, LOWER LEVEL , STE 1600, LOS ANGELES, CA 90033-5310
(323) 442-7450
Mailing address
PO BOX 31399, LOS ANGELES, CA 90031-0399
(626) 457-5842
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
A30677
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A306770
BLUE SHIELD
CA
01
—
00A306770G56
CAL OPTIMA
CA
Enumeration date
06/05/2006
Last updated
12/17/2007
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