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General NPI Number Information
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NPI Number | 1467528422
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Entity Type | Organization
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Legal Business Name | MAY K. CHATILA, MD, INC.
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2222 SANTA MONICA BLVD SUITE 405
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City | SANTA MONICA
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State | CA
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Zip | 90404-2304
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Country | US
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Telephone | 310-315-3500
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Fax | 310-315-3522
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Provider Business Mailing Address
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Address Line | 2222 SANTA MONICA BLVD SUITE 405
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City | SANTA MONICA
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State | CA
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Zip | 90404-2304
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Country | US
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Telephone | 310-315-3500
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Fax | 310-315-3522
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Authorized Official
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Title or Position | PRESIDENT OF CORP.
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Name | DR. MAY KULAYLAT CHATILA
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Credential | MD
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Telephone | 310-315-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | C51522
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License Number State | CA
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