Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Theodore J Hak, MD

Individual provider Family Medicine Physician · NPI 1457396269

Dr. Theodore J Hak, MD is a Family Practice in Santa Monica, California. Graduated from Perelman School of Med at the University of Pennsylvania in 1980, 46 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
46
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

901 Wilshire Blvd Fl 3
Santa Monica, CA 90401-1854
Phone: (310) 829-8903
Fax: (424) 212-5933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G46097 (CA)

Record details

NPI number1457396269
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2006
Last updated in NPPESAugust 28, 2020
Certification dateAugust 28, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 1980 (46 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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