Marciano Medical Incorporated

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A96300 Issued in CA

Legal business name

MARCIANO MEDICAL INCORPORATED

Practice address

1125 S Beverly Dr
Suite 601a
Los Angeles, CA 90035-1148

Phone

(310) 556-8200

Fax

(310) 556-8288

NPI assigned

Dec 21, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel A Marciano, MD

Title

Ceo

Phone

(310) 556-8200

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1992160741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR",
            "address_2": "SUITE 601A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351148",
            "telephone_number": "310-556-8200",
            "fax_number": "310-556-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR",
            "address_2": "SUITE 601A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351148",
            "telephone_number": "310-556-8200",
            "fax_number": "310-556-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIANO MEDICAL INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "MARCIANO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-556-8200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A96300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid Lizzette Marchus
• Jorge E Marcia
• Lila P Marcial-Hernandez, PT,DPT
• Karen Veronica Marcial
• Valeria Marcial
• Daniel A Marciano, MD
• Odelia Marciano, MS, IBCLC, RLC
• Maria Marcias
• Jesse Marco
• Greg Paul Marconi, MD

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.