Organization · Type 2 NPI
Marina Center Neurodiagnostics Inc
General Practice Physician · Venice, CA
NPI number
1891106712
Active
Practice location
3011 Grayson Ave
Venice, CA 90291-4651
Fax (866) 441-8248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | C3298806 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
Other general practice physician providers in Venice
About NPI 1891106712
Marina Center Neurodiagnostics Inc's National Provider Identifier is 1891106712, issued on May 13, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Venice, CA. The record was last updated on May 13, 2014.