Healthcare Provider Details

I. General information

NPI: 1477987063
Provider Name (Legal Business Name): MARCEL S. FILART, MD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2013
Last Update Date: 08/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3755 BEVERLY BLVD STE 300
LOS ANGELES CA
90004-3539
US

IV. Provider business mailing address

3755 BEVERLY BLVD STE 300
LOS ANGELES CA
90004-3539
US

V. Phone/Fax

Practice location:
  • Phone: 323-664-4234
  • Fax: 323-664-4235
Mailing address:
  • Phone: 323-664-4234
  • Fax: 323-664-4235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberA76022
License Number StateCA

VIII. Authorized Official

Name: MARCEL S FILART
Title or Position: MD, OWNER
Credential: MD
Phone: 323-664-4234