Provider Demographics
NPI:1396775474
Name:FILART, MARCEL S (MD)
Entity type:Individual
Prefix:DR
First Name:MARCEL
Middle Name:S
Last Name:FILART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:6245 DE LONGPRE AVE
Mailing Address - Street 2:FL 2
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-8253
Mailing Address - Country:US
Mailing Address - Phone:323-499-1350
Mailing Address - Fax:323-798-3021
Practice Address - Street 1:6245 DE LONGPRE AVE
Practice Address - Street 2:FL 2
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-8253
Practice Address - Country:US
Practice Address - Phone:323-499-1350
Practice Address - Fax:323-798-3021
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA76022207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A760221Medicaid
CA00A760220Medicaid
CA00A760221Medicaid
CAA76022BMedicare ID - Type UnspecifiedMCARE PROVIDER ID
CA00A760220Medicaid