ANTOINE HALLAK


Address: 16766 Bernardo Center Dr, Suite 109, San Diego, CA 92128
Phone: 8585929200

ANTOINE HALLAK (NPI# 1811058415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811058415
Entity Type Individual
Full Name ANTOINE HALLAK
Credential M.D.
Practice Address 16766 Bernardo Center Dr
Suite 109
San Diego
CA 92128
Mailing Address 16766 Bernardo Center Dr
Suite 109
San Diego
CA 92128-2501
Practice Telephone 8585929200
Practice Fax Number 8585929218
Mailing Telephone 8585929200
Mailing Fax Number 8585929218
Enumeration Date 2006-12-13
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery A87305 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A873050 05

Office Location

Street Address 16766 BERNARDO CENTER DR
SUITE 109
City SAN DIEGO
State CA
Zip Code 92128

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205897253 Morton Steven Tuchin Dentist 16766 Bernardo Center Dr, Suite 108, San Diego, CA 92128-2545 2006-03-30
1346659638 Dawn M. Terashita, PC Clinic/Center 16766 Bernardo Center Dr, Suite 207, San Diego, CA 92128 2014-08-12
1962755629 Connect Hearing, Inc. Audiologist 16766 Bernardo Center Dr, Suite 206, San Diego, CA 92128-2545 2012-10-18
1174777841 Keith Christopher Henderson Dentist 16766 Bernardo Center Dr, 201, San Diego, CA 92128-2545 2008-11-07
1275789356 Matthew Raymond Carpenter Dentist 16766 Bernardo Center Dr, Ste. 212, San Diego, CA 92128-2545 2008-08-08
1962627943 Judith K Horning Audiologist 16766 Bernardo Center Dr, Suite 206, San Diego, CA 92128-2545 2007-04-16
1588784045 Shou Xin Wu Acupuncturist 16766 Bernardo Center Dr, Suite 207, San Diego, CA 92128-2545 2007-03-29
1215065065 Barbara Switala Searson Optometrist 16766 Bernardo Center Dr, Suite 112a, San Diego, CA 92128-2545 2007-03-02
1407925597 Antoine Hallak Md, Inc Plastic Surgery 16766 Bernardo Center Dr, Suite 109, San Diego, CA 92128-2545 2006-11-06
1225121734 David J Li Dentist 16766 Bernardo Center Dr, #203a, San Diego, CA 92128-2545 2006-10-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518585371 Alicia Ford Behavior Technician 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 2020-07-08
1164087573 Madeleine White Dietitian, Registered 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 2019-05-01
1053807677 Joele Ghosn Speech-Language Pathologist 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 2018-07-06
1376034348 Eddie Reginald Burston II In Home Supportive Care 12727 Camino Emparrado, San Diego, CA 92128 2018-05-24
1336659218 Ryan Fong Physician Assistant 15004 Innovation Drive (s97), San Diego, CA 92128 2017-10-05
1508316191 Araceli Flores Behavioral Analyst 15737 Innovation Dr, Suite 200, San Diego, CA 92128 2016-10-07
1003283961 Katherine Dishner Hearing Instrument Specialist 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 2015-08-27
1205212586 Mobilia Dmd Inc. Point of Service 12405 Rancho Bernardo Rd., San Diego, CA 92128 2015-08-10
1346623634 Angela Christine Storck-petersen Dietitian, Registered 11768 Caminito Corriente, San Diego, CA 92128 2015-07-04
1134526874 Breeana Rose Lancaster Speech-Language Pathologist 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 2014-11-24
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Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396383212 La Jolla Professional Plastic Surgery Plastic Surgery 4510 Executive Dr. Suite 105, San Diego, CA 92121 2019-12-11
1790341832 Frederic Jerome Kolb Plastic Surgery 200 W Arbor Dr # Mc8890, San Diego, CA 92103-1911 2019-05-14
1891213245 Rishi Jindal Md Inc Plastic Surgery 12264 El Camino Real Ste 101, San Diego, CA 92130-3060 2017-09-06
1548530454 Dan Sullivan Smith Plastic Surgery 5988 Saint Denis Ter, San Diego, CA 92120-3015 2012-01-09
1134453640 Gary Haves Manchester Plastic Surgery 3720 Fourth Ave, San Diego, DC 92110-4763 2009-09-30
1992937304 Stuart B Kincaid Md, Facs, Apc Plastic Surgery 8929 University Center Ln Ste 201, San Diego, CA 92122-1008 2009-08-18
1851528137 Aram Harijan Plastic Surgery 1830 Reed Ave Apt 2, San Diego, CA 92109 2009-06-15
1760636534 Ahmad Nazih Saad Plastic Surgery 5370 Toscana Way, Unit H212, San Diego, CA 92122-5656 2008-11-06
1528239761 Innovative Plastic & Cosmetic Surgery Inc Plastic Surgery 6610 Flanders Dr, Suite 101, San Diego, CA 92121-3940 2008-03-16
1316069503 Salvatore John Pacella IIi Plastic Surgery 12395 El Camino Real Ste 112, San Diego, CA 92130-3084 2007-04-06
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Competitor

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City SAN DIEGO
Zip Code 92128

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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