| Marciano Medical Incorporated | |
|
1125 S Beverly Dr Suite 601a Los Angeles CA 90035-1148 | |
| (310) 556-8200 | |
| (310) 556-8288 |
| Full Name | Marciano Medical Incorporated |
|---|---|
| Speciality | Internal Medicine |
| Location | 1125 S Beverly Dr, Los Angeles, California |
| Authorized Official Name and Position | Daniel A Marciano (CEO) |
| Authorized Official Contact | 3105568200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marciano Medical Incorporated 1125 S Beverly Dr Suite 601a Los Angeles CA 90035-1148 Ph: (310) 556-8200 | Marciano Medical Incorporated 1125 S Beverly Dr Suite 601a Los Angeles CA 90035-1148 Ph: (310) 556-8200 |
| NPI Number | 1992160741 |
|---|---|
| Provider Enumeration Date | 12/21/2015 |
| Last Update Date | 01/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992160741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A96300 (California) | Primary |
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