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MARINA WOMEN'S MEDICAL GROUP, INC.
NPI 1104846682
Obstetrics & Gynecology in Marina Del Rey, CA

Active since July 20, 2006
4560 ADMIRALTY WAY, 303, MARINA DEL REY, CA 90292(310) 822-5066(310) 827-4420 Get Directions Write a Review

NPPES record last updated: July 13, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marina Women's Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARINA WOMEN'S MEDICAL GROUP, INC. (NPI 1104846682) is a healthcare organization registered as an obstetrics & gynecology in Marina Del Rey, California and active in the NPI registry since July 2006. The organization lists Dale Gene Parks, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1104846682
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMARINA WOMEN'S MEDICAL GROUP, INC.
Location Address4560 ADMIRALTY WAY, 303Marina Del Rey, CA 90292-5423
Mailing Address4560 Admiralty Way, 303Marina Del Rey, CA 90292-5423 · (310) 822-5066 · Fax (310) 827-4420
Phone(310) 822-5066
Fax(310) 827-4420
Organization SubpartNo
Authorized OfficialDale Gene ParksMd/owner · (310) 822-5066
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 13, 2010
✔ NPI 1104846682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · C35271
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4560 ADMIRALTY WAY, Marina Del Rey, CA 90292
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Other Identifiers 3

Medicare UPINF00880CA
Medicaid00C352710CA
Medicare ID-Type UnspecifiedW3056CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JACQUELINE CONNOLLY D.C.
Chiropractor
4560 ADMIRALTY WAY, SUITE 252
MARINA DEL REY, CA 90292
Los Angeles County (310) 306-4828
DR. JOHN JOSEPH VOHASKA DPM
Podiatrist (Foot & Ankle Surgery)
4560 ADMIRALTY WAY, SUITE 201
MARINA DEL REY, CA 90292
Los Angeles County (310) 871-2383
CHIROASIS A CONNOLLY CHIROPRACTIC CORPORATION
Chiropractor
4560 ADMIRALTY WAY, SUITE 252
MARINA DEL REY, CA 90292
Los Angeles County (310) 306-4828
DR. ERIC J KLOSTERMANN D.P.M.
Podiatrist
4560 ADMIRALTY WAY, SUITE 351
MARINA DEL REY, CA 90292
Los Angeles County (310) 792-3914
JUSTIN PEREZ M.D.
Plastic Surgery
4560 ADMIRALTY WAY
MARINA DEL REY, CA 90292
Los Angeles County (813) 446-4867
DR. EDWARD J. CHUNG MD
Emergency Medicine
4560 ADMIRALTY WAY, 100
MARINA DEL REY, CA 90292
Los Angeles County (310) 827-3700
ERIC J. KLOSTERMANN, D.P.M., A PROFESSIONAL CORPORATION
Clinic/Center (Podiatric)
4560 ADMIRALTY WAY, SUITE 351
MARINA DEL REY, CA 90292
Los Angeles County (310) 792-3914
DR. SHAWN N CHAIKIN MD
Family Medicine
4560 ADMIRALTY WAY, SUITE 100
MARINA DEL REY, CA 90292
Los Angeles County (310) 827-3700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marina Women's Medical Group, Inc.'s NPI number?

The NPI number for Marina Women's Medical Group, Inc. is 1104846682. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Marina Women's Medical Group, Inc. located?

Marina Women's Medical Group, Inc. is located at 4560 Admiralty Way 303, Marina Del Rey, CA 90292. The listed phone number is (310) 822-5066.

What is Marina Women's Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Marina Women's Medical Group, Inc. was last updated on July 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.