Provider Demographics
NPI:1114048865
Name:MARCEL S. FILART, M.D., INC.
Entity Type:Organization
Organization Name:MARCEL S. FILART, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:FILART
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:213-483-0050
Mailing Address - Street 1:PO BOX 800817
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91380-0817
Mailing Address - Country:US
Mailing Address - Phone:661-295-0859
Mailing Address - Fax:866-431-1210
Practice Address - Street 1:1711 W TEMPLE ST
Practice Address - Street 2:SUITE 5639
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-5421
Practice Address - Country:US
Practice Address - Phone:213-483-0050
Practice Address - Fax:213-483-0055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN656065163W00000X
CAA76022207RG0300X
CANP16279363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA76022OtherPRESIDENTS LICENSE#
CAA76022OtherPRESIDENTS LICENSE#
CAH72757Medicare UPIN