Dr. Marc David Chalet
Dermatopathologist
2811 Wilshire Blvd Suite 615
Santa Monica
, California 90403-4803
Dr. Marc David Chalet
Dermatopathologist
2811 Wilshire Blvd Suite 615
Santa Monica
, California 90403-4803
(310) 828-6734
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About
Features
Specialties
- Dermatopathologist
Languages spoken
- English
Location
First Address
- Dr. Marc David Chalet
- 2811 Wilshire Blvd Suite 615
- Santa Monica, CA
- Zip : 90403-4803
- Fax : (310) 828-6734
- Phone : (310) 828-4071
Second Address
- Dr. Marc David Chalet
- 2811 Wilshire Blvd Suite 615
- Santa Monica, CA
- Zip : 90403-4803
- Fax : (310) 828-6734
- Phone : (310) 828-4071
Reviews
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Is Dr. Marc David Chalet a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0900X | Dermatopathologist | G38996 | CA |
National Provider Identifier
| NPI | 1780613588 |
|---|---|
| Provider Name | Dr. Marc David Chalet |
| First Address | Santa Monica, CA 90403-4803 |
| Second Address | Santa Monica, CA 90403-4803 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2006 |
| Last Update Date | 13/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G389960 | (05) | CA |
| 00G389960 | BLUE SHIELD (01) | CA |
| A92037 | (02) | CA |
| G38996 | BLUE CROSS (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.