MARINA CENTER NEURODIAGNOSTICS INC (NPI# 1891106712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891106712 |
| Entity Type | Organization |
| Organization Name | MARINA CENTER NEURODIAGNOSTICS INC |
| Practice Address |
3011 Grayson Ave Venice CA 90291-4651 |
| Practice Telephone | 5622013874 |
| Practice Fax Number | 8664418248 |
| Mailing Telephone | 5622013874 |
| Mailing Fax Number | 8664418248 |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |
| Authorized Official Name | EDWARDS MICHAEL (OWNER) |
| Authorized Official Telephone | 5622013874 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | C3298806 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3011 GRAYSON AVE |
| City | VENICE |
| State | CA |
| Zip Code | 90291-4651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083025688 | Le Medical Associates PC | Dermatology | 3011 Grayson Ave, Venice, CA 90291-4651 | 2014-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033629837 | Dylan Booth | Dentist | 601 Vernon Ave, Venice, CA 90291 | 2017-10-05 |
| 1467979500 | Linda Sittler | Registered Nurse | 1025 Palms Ave, Venice, CA 90291 | 2017-08-29 |
| 1003218660 | Patricia Guadalupe Rivas | Counselor | 717 Lincoln Blvd., Venice, CA 90291 | 2014-09-25 |
| 1497016877 | Carrie Lynn Kowalski | Physician Assistant | 604 Rose Avenue, Venice, CA 90291 | 2012-06-02 |
| 1821364761 | Cheryl Lynn Perkins | Nutritionist | 215 Culver Boulevard, # 5203, Playa Del Rey, CA 90291 | 2012-03-26 |
| 1629391875 | James L. Hoff | Optometrist | 1636 Abbot Kinney Blvd., Venice, CA 90291 | 2010-03-02 |
| 1720315096 | Kristen Nicol Leishman | Counselor | 911 Coeur D'alene Ave, Venice, CA 90291 | 2009-11-06 |
| 1922237882 | David Anthony Garcia | Physician Assistant | 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 | 2009-07-13 |
| 1548411010 | David Watts | Acupuncturist | 307 S. Robertson Blvd, Beverly Hills, CA 90291 | 2008-10-02 |
| 1184891699 | Judy Alexander | Voluntary or Charitable | 204 Hampton Drive, St Joseph Center, Venice, CA 90291 | 2008-05-14 |
| Find all providers in zip 90291 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1578753026 | Eduardo H Sanchez | General Practice | 959 E Venice Ave, Venice, FL 34285-7056 | 2007-07-31 |
| 1578762746 | Caridad Sun Sanchez | General Practice | 7820 Tamiami Trl S, Bldg B2, Venice, FL 34293-5100 | 2007-07-17 |
| 1689754426 | Iraj Golzari | General Practice | 1869 S Tamiami Tr, Venice, FL 34293 | 2006-10-16 |
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| 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.