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General NPI Number Information
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NPI Number | 1649374984
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Entity Type | Organization
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Legal Business Name | ALAN MARCO, M.D. INC
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 09/04/2007
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Provider Practice Location Address
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Address Line | 3828 DELMAS TERRACE
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City | CULVER CITY
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State | CA
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Zip | 90232
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Country | US
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Telephone | 310-836-7000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 573369
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City | TARZANA
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State | CA
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Zip | 91357-3369
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Country | US
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Telephone | 818-884-7724
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Fax | 818-884-7725
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Authorized Official
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Title or Position | OWNER
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Name | ALAN ROBERT MARCO
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Credential | M.D.
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Telephone | 818-884-7724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | G36325
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G36325
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License Number State | CA
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