# BERTRAND A. MARCANO, MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568734655
- **Authorized official:** MR. BERTRAND A MARCANO M.D (OWNER)
- **Authorized official phone:** (323) 261-0259

## Contact information

- **Practice address:** 1700 E CESAR E CHAVEZ AVE, SUITE 3450, LOS ANGELES, CA 90033-2424
- **Practice address phone:** (323) 261-0259
- **Practice address fax:** (323) 261-0073
- **Mailing address:** 1700 CESAR E CHAVEZ AVE, SUITE 3450, LOS ANGELES, CA 90033
- **Mailing address phone:** (323) 261-0259
- **Mailing address fax:** (323) 261-0073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC2000X | Children's Hospital | A22276 | CA | — |
| 302R00000X | Health Maintenance Organization | A22276 | CA | Yes |

## Other

- **Enumeration date:** 02/03/2012
- **Last updated:** 02/03/2012