Chalet, Marc David

Chalet, Marc David is an sole proprietor health care provider with primary practice located at 2811 Wilshire Blvd Suite 615, Santa Monica CA 90403-4803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as his primary health care specialty. Chalet, Marc David can be contacted via phone (310) 828-4071.

Contact Information

Primary practice address
2811 Wilshire Blvd Suite 615 Santa Monica CA 90403-4803
Phone: (310) 828-4071
Fax: (310) 828-6734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X G38996 California

Profile Details

NPI number 1780613588
LBN Legal business name Chalet, Marc David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2006
Last updated Mar 13th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780613588 NPPES
California Other 00G389960 BLUE SHIELD
California MEDICAID 00G389960 BLUE SHIELD
California Other G38996 BLUE SHIELD

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