MEDICARE: HALFON MEDICAL CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	A27935	CA

General Provider Information

NPI Number	:	1215101621
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HALFON MEDICAL CENTER, INC.

Provider Business Mailing Address
First Line	:	1711 W TEMPLE ST
Second Line	:	SUITE # 3644
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-5421
Country	:	US
Telephone Number	:	213-989-0700
Fax Number	:	213-989-0703

Provider Business Practice Location Address
First Line	:	1711 W TEMPLE ST
Second Line	:	SUITE # 3644
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-5421
Country	:	US
Telephone Number	:	213-989-0700
Fax Number	:	213-989-0703

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MORRIS HALFON
Credential	:	MD
Telephone Number	:	213-989-0700

Provider Enumeration Date	:	04/16/2008
Last Update Date	:	04/16/2008

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