MARINA ORTHO, INC.


Address: 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393
Phone: 3105740367

MARINA ORTHO, INC. (NPI# 1184134892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184134892
Entity Type Organization
Organization Name MARINA ORTHO, INC.
Other Organization Name DIAGNOSTIC AND INTERVENTIONAL SPINE CARE, A MEDICAL CORPORATION
Practice Address 13160 Mindanao Way Ste 300
Marina Del Rey
CA 90292-6393
Practice Telephone 3105740367
Mailing Telephone 3105740367
Enumeration Date 2017-10-08
Last Update Date 2017-10-28
Authorized Official Name DAWN MARIE KENNEDY (PRACTICE ADMINISTRATOR)
Authorized Official Telephone 3105740367
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
DIAGNOSTIC AND INTERVENTIONAL SPINE CARE, A MEDICAL CORPORATION Other Name - Individual/Organization

Office Location

Street Address 13160 MINDANAO WAY STE 300
City MARINA DEL REY
State CA
Zip Code 90292-6393

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457414989 Dennis Yun Anesthesiology 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 2006-12-18
1942776307 Alexis E. Dixon, Md, Inc Orthopaedic Surgery 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 2018-10-23
1851866511 Elaine Kim Orthopaedic Surgery 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 2018-10-09
1669984365 Rojeh Melikian, Md Inc Orthopaedic Surgery 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 2017-11-02
1346762903 Grant D. Shifflett, Md Inc Orthopaedic Surgery 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 2017-07-14
1720535255 George T Cyril M.d., Inc Physical Medicine & Rehabilitation 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 2016-09-01
1720323264 Ba Pain Management Anesthesiology 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 2012-12-11
1013273002 Akash Bajaj Md Inc, A California Professional Medical Corporation Non-Pharmacy Dispensing Site 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 2012-04-04
1770856809 Glenn Martin Lipton, Md, Amc Pain Medicine 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 2012-02-21
1306073838 Rojeh Melikian Orthopaedic Surgery 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292 2009-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972142420 Katy Kleinberg Physical Therapist 4820 Lincoln Blvd., Marina Del Rey, CA 90292 2020-01-02
1568028330 Kylie Nakamine Physical Therapist 4820 Lincoln Bld, Marina Del Rey, CA 90292 2019-05-16
1033627807 Kareema Nasouf Social Worker 578 Washington Blvd. #815, Marina Del Rey, CA 90292 2018-01-16
1861916611 Jaqueline Berenice Higbee Behavior Technician 13428 Maxella Ave Apt 913, Marina Del Rey, CA 90292 2017-08-02
1063942696 Luis Albert Japngie Chiropractor 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 2017-06-15
1427509082 Melissa Dowling Nurse Anesthetist, Certified Registered 4750 Lincoln Blvd Apt 477, Marina Del Rey, CA 90292 2016-10-19
1578932950 Gratto Aquatic Rehab Clinic/Center 13160 Mindanao Way Ste. 308, Marina Del Ray, CA 90292 2015-09-16
1285018309 Reed Chiropractic & Wellness Center A Professional Corporation Chiropractor 4207 Del Rey Ave., Marina Del Rey, CA 90292 2015-07-18
1083990725 James J Kim Pharmacist 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 2011-10-26
1689957805 Medbil, LLC Anesthesiology 1024 Oxford Ave., Marina Del Rey, CA 90292 2011-09-23
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811376452 Regents of The University of California Clinic/Center 4560 Admiralty Way, 100, Marina Del Rey, CA 90292-5423 2015-05-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649878117 Cameron S Francis Md Inc Clinic/Center 1431 Camino Del Mar, Del Mar, CA 92014-2509 2020-10-15
1982211835 Crossover Health Medical Group Clinic/Center 711 W 2nd St Ste A, San Bernardino, CA 92410-3262 2020-09-24
1982211843 Crossover Health Medical Group Clinic/Center 5379 Hamner Ave Unit 801, Eastvale, CA 91752-1042 2020-09-24
1164039020 Crossover Health Medical Group Clinic/Center 14329 Frederick St Ste 7-9, Moreno Valley, CA 92553-9003 2020-09-24
1104432673 Aleracare Medical Group of California Clinic/Center 17777 Ventura Blvd Ste 220, Encino, CA 91316-3748 2020-09-21
1205447687 Shawn Richard Oneill Clinic/Center 5979 Trotters Ln, Alta Loma, CA 91701-2644 2020-08-11
1134738032 Healthworks Med Group of California A Medical Corporation Clinic/Center 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 2020-07-27
1437767951 Miro Health Clinic/Center 260 King St Unit 1505, San Francisco, CA 94107-6415 2020-07-21
1598383895 Alacrity Patient Services, Inc. Clinic/Center 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 2020-07-13
1306464979 Aleracare Medical Group of California Clinic/Center 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 2020-07-10
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Competitor

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City MARINA DEL REY
Zip Code 90292

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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