Organization
BERTRAND A. MARCANO, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERTRAND A MARCANO M.D (OWNER)
(323) 261-0259
Entity
Organization
Contact information
Practice address
1700 E CESAR E CHAVEZ AVE, SUITE 3450, LOS ANGELES, CA 90033-2424
(323) 261-0259
(323) 261-0073
Mailing address
1700 CESAR E CHAVEZ AVE, SUITE 3450, LOS ANGELES, CA 90033
(323) 261-0259
(323) 261-0073
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
A22276
CA
302R00000X
Health Maintenance Organization
Primary
A22276
CA
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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