Individual
MARK HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
141 TRIUNFO CANYON RD STE 110, WESTLAKE VILLAGE, CA 91361-2525
(805) 371-1393
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8771
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A167921
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2015
Last updated
11/16/2020
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