| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TRAVIS ROBERT HALLETT | 1710513726 | 2020-03-21 |
Travis Robert Hallett is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1710513726. Registration indicates Travis Robert Hallett is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians) (Allopathic & Osteopathic Physicians, Hospitalist) (Hospitalist, ) (All Other Specialties & Provider Types, ) (Hospitalist, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Travis Robert Hallett MD |
| Practice Office Address | 8700 BEVERLY BLVD STE B220 WEST HOLLYWOOD, CA US |
| Practice Office Telephone | 3104235252 |
| Practice Office Fax | 3104238441 |
| Mailing Address | 4140 W 190TH ST TORRANCE, CA 905045513 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 8700 Gracie Allen Drive South Tower, Suite B220 | Los Angeles, CA 90048 | 3104235252 / 3104238441 |
| Other URL [] | https://www.massgeneral.org/medicine/about/contact |
| Code | Practice | License No State |
|---|---|---|
| 207R00000X | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | A185239
CA |
| 208M00000X PRIMARY | Allopathic & Osteopathic Physicians Hospitalist Hospitalist All Other Specialties & Provider Types Hospitalist Allopathic & Osteopathic Physicians | A185239
CA |