Provider Demographics
NPI:1467528422
Name:MAY K. CHATILA, MD, INC.
Entity Type:Organization
Organization Name:MAY K. CHATILA, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF CORP.
Authorized Official - Prefix:DR
Authorized Official - First Name:MAY
Authorized Official - Middle Name:KULAYLAT
Authorized Official - Last Name:CHATILA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-315-3500
Mailing Address - Street 1:2222 SANTA MONICA BLVD
Mailing Address - Street 2:SUITE 405
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2304
Mailing Address - Country:US
Mailing Address - Phone:310-315-3500
Mailing Address - Fax:310-315-3522
Practice Address - Street 1:2222 SANTA MONICA BLVD
Practice Address - Street 2:SUITE 405
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2304
Practice Address - Country:US
Practice Address - Phone:310-315-3500
Practice Address - Fax:310-315-3522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC51522174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty