Raouf G Hallis Family Practice
2001 Santa Monica Blvd, Suite 370w, Santa Monica, CA 90404-2105


Raouf G Hallis is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1386688687. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 7012012404. The medical credential is MD. The primary specialty is FAMILY PRACTICE. The organization is REGENTS UNIVERSITY OF CALIFORNIA LOS ANGELES. The address is 2001 Santa Monica Blvd, Suite 370w, Santa Monica, CA 90404-2105. The zip code is 90404.


Raouf G Hallis · 2001 Santa Monica Blvd, Suite 370w, Santa Monica, CA 90404-2105

Nation Provider ID 1386688687
PAC ID by PECOS 7012012404
Professional Enrollment ID I20111107000726
Last Name HALLIS
First Name RAOUF
Middle Name G
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1969
Primary Specialty FAMILY PRACTICE
Primary Specialty REGENTS UNIVERSITY OF CALIFORNIA LOS ANGELES
Phone Number 3105869001
Group Practice PAC ID 4082895677
Number of Group Practice Members 56
Address 2001 SANTA MONICA BLVD
SUITE 370W
SANTA MONICA, CA 904042105
Claims Based Hospital Affiliation Claim Control Number (CCN): 050262
Legal Business Name: RONALD REAGAN U C L A MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 050112
Legal Business Name: SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL
Professional accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Regents University of California Los Angeles · Medicare Physician

Name Address Specialty
Shawn Chaikin 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Richard Ross 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Angelika Buddeberg 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Manali Shendrikar 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Virginia Galan-burns 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 NURSE PRACTITIONER
Anahita Ghodsian 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 PHYSICIAN ASSISTANT
Megan Detoy 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 PHYSICIAN ASSISTANT
Devora Cohen 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Donald Buschmann 2424 Wilshire Blvd, Santa Monica, CA 90403-5806 FAMILY PRACTICE
Darren Takeuchi 2424 Wilshire Blvd, Santa Monica, CA 90403-5806 EMERGENCY MEDICINE
Caroline Close 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Daina Danovitch 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Theodore Hak 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Michael Nagata 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
George Labrot 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 PULMONARY DISEASE
Bradley Summers 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 PHYSICIAN ASSISTANT
Bernard Katz 2001 Santa Monica Blvd, Santa Monica, CA 90404-2179 FAMILY PRACTICE
Riquaza Zavahir 4560 Admiralty Way, Marina Del Rey, CA 90292-5424 INTERNAL MEDICINE
Gaurav Banka 2424 Wilshire Blvd, Santa Monica, CA 90403-5806 INTERNAL MEDICINE
Megan Chen 2001 Santa Monica Blvd, Santa Monica, CA 90404-2202 FAMILY PRACTICE

Zip 90404 · Family Practice · Medicare Physician

Name Address Specialty
Stephen Patt 2001 Santa Monica Blvd, Santa Monica, CA 90404-2194 FAMILY PRACTICE
Rob Kassan 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Timothy Weiss 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Richard Ross 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Jennifer Timmons 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
David Cutler 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Walcharee Mahamitra 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 FAMILY PRACTICE
Lauren Irizarry 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Ann Ryan 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Katie Hu 2336 Santa Monica Blvd, Santa Monica, CA 90404-2067 FAMILY PRACTICE
Monica Plesa 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
John Difiori 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Alan Lee 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Nancy Tsoi 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 FAMILY PRACTICE
Darren Boyer 1301 20th St, Santa Monica, CA 90404-2096 FAMILY PRACTICE
Brent Michael 2001 Santa Monica Blvd, Santa Monica, CA 90404-2110 FAMILY PRACTICE
Martin Quan 1920 Colorado Ave, Santa Monica, CA 90404-3414 FAMILY PRACTICE
Lilia Wexley 3200 Santa Monica Blvd, Santa Monica, CA 90404-2638 FAMILY PRACTICE
Anita Gorwara-dohad 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE
Stephane Garcia 2001 Santa Monica Blvd, Santa Monica, CA 90404-2105 FAMILY PRACTICE

Zip 90404 · Medicare Physician

Name Address Specialty
Manoochehr Yashari 1260 15th St, Santa Monica, CA 90404-1141 OBSTETRICS/GYNECOLOGY
Soo Choi 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 RHEUMATOLOGY
Nasser El-okdi 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Brandon Koretz 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 GERIATRIC MEDICINE
Glenn Gorlitsky 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 INTERNAL MEDICINE
Forster Chhean 1250 16th St, Santa Monica, CA 90404-1249 INTERNAL MEDICINE
Grace Tassa 2001 Santa Monica Blvd, Santa Monica, CA 90404-2179 FAMILY PRACTICE
Saeed Sadeghi 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 HEMATOLOGY/ONCOLOGY
Darren Boyer 1301 20th St, Santa Monica, CA 90404-2096 FAMILY PRACTICE
Kara-lee Pool 1245 16th St, Santa Monica, CA 90404-1255 DIAGNOSTIC RADIOLOGY
Richard Ruffalo 2001 Santa Monica Blvd, Santa Monica, CA 90404-2102 ANESTHESIOLOGY
Daniel Grossman 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 EMERGENCY MEDICINE
Retha Goodglick 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE
Sharon Decruz 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 PULMONARY DISEASE
Denise Oseguera 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 NURSE PRACTITIONER
William Wallace 1448 15th St, Santa Monica, CA 90404-2756 CLINICAL PSYCHOLOGIST
Michelle Panlilio 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 NURSE PRACTITIONER
May Nour 1250 16th St, Santa Monica, CA 90404-1249 DIAGNOSTIC RADIOLOGY
Aurelia Nattiv 1920 Colorado Ave, Santa Monica, CA 90404-3414 ORTHOPEDIC SURGERY
Rumi Cader 2020 Santa Monica Blvd, Santa Monica, CA 90404-2023 INTERNAL MEDICINE