MEDICARE: DR. MARC DAVID CHALET M.D.

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	207ND0900X	Dermatopathology Physician	G38996	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00G389960	OTHER	CA	BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	G38996	OTHER	CA	BLUE CROSS

General Provider Information

NPI Number	:	1780613588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARC DAVID CHALET M.D.

Provider Business Mailing Address
First Line	:	2811 WILSHIRE BLVD
Second Line	:	SUITE 615
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-4803
Country	:	US
Telephone Number	:	310-828-4071
Fax Number	:	310-828-6734

Provider Business Practice Location Address
First Line	:	2811 WILSHIRE BLVD
Second Line	:	SUITE 615
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-4803
Country	:	US
Telephone Number	:	310-828-4071
Fax Number	:	310-828-6734

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	03/13/2008

Similar Medicare Providers

1508868837 — DR. SANT P CHAWLA M.D.
Practice Location Address:

2811 WILSHIRE BLVD , STE 414
SANTA MONICA, CA
90403-4803

Practice Phone: 310-552-9999
Practice Fax: 310-201-6685

1366420523 — DR. JEFFREY MICHAEL EGLER M.D.
Practice Location Address:

2811 WILSHIRE BLVD , SUITE 610
SANTA MONICA, CA
90403-4803

Practice Phone: 310-453-2335
Practice Fax: 214-393-4645

1609842715 — DR. BRIAN RANDALL GANTWERKER M.D.
Practice Location Address:

2811 WILSHIRE BLVD , SUITE 840
SANTA MONICA, CA
90403-4803

Practice Phone: 310-694-8300
Practice Fax: 310-694-8357

1346287687 — SKYPARK PHYSICAL THERAPY INC
Practice Location Address:

2811 WILSHIRE BLVD , SUITE 690
SANTA MONICA, CA
90403-4803

Practice Phone: 310-828-7239
Practice Fax: 310-828-3306

1629012612 — EDWIN CHAPMAN GLASS M.D.
Practice Location Address:

2811 WILSHIRE BLVD , SUITE 810
SANTA MONICA, CA
90403-4803

Practice Phone: 310-829-9788
Practice Fax: 310-268-4916

1043241995 — SHELDON JORDAN, M.D., INC.
Practice Location Address:

2811 WILSHIRE BLVD , # 790
SANTA MONICA, CA
90403-4803

Practice Phone: 310-829-5968
Practice Fax: 310-453-3685

Directions to “ DR. MARC DAVID CHALET M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.