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DIAGNOSTIC AND INTERVENTIONAL SPINE CARE, A MEDICAL CORPORATION
NPI 1184134892
Clinic/Center - Multi-Specialty in Marina Del Rey, CA

Active since October 08, 2017CLIA 05D1052088 · Waiver
13160 MINDANAO WAY STE 300, MARINA DEL REY, CA 90292(310) 574-0367 Get Directions Write a Review

NPPES record last updated: October 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diagnostic And Interventional Spine Care, A Medical Corporation NPPES

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

DIAGNOSTIC AND INTERVENTIONAL SPINE CARE, A MEDICAL CORPORATION (NPI 1184134892) is a healthcare organization registered as a multi-specialty in Marina Del Rey, California and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through March 15, 2028 and lists Dawn Marie Kennedy, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1184134892
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMARINA ORTHO, INC.
Location Address13160 MINDANAO WAY STE 300Marina Del Rey, CA 90292-6393
Mailing Address13160 Mindanao Way Ste 300Marina Del Rey, CA 90292-6393 · (310) 574-0367
Phone(310) 574-0367
Organization SubpartNo
Authorized OfficialDawn Marie KennedyPractice Administrator · (310) 574-0367
Enumeration DateOctober 8, 2017
Last NPPES UpdateOctober 28, 2017
✔ NPI 1184134892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
13160 MINDANAO WAY STE 300, Marina Del Rey, CA 90292
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Other Names 1

Other NameDiagnostic And Interventional Spine Care, A Medical Corporation

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1052088

Marina Orthopedic & Spine Institute, LLC · Marina Del Rey, CA
Active · expires Mar 15, 2028
CLIA Number05D1052088
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorMichael Port
Laboratory Phone(310) 574-0440
Laboratory LocationMarina Orthopedic & Spine Institute, LLC13160 Mindanao Way Ste 150, Marina Del Rey, CA 90292
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

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

AKASH BAJAJ MD INC, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION
Non-Pharmacy Dispensing Site
13160 MINDANAO WAY STE 300
MARINA DEL REY, CA 90292
Los Angeles County (310) 482-6906
ROJEH MELIKIAN M.D.
Orthopaedic Surgery
13160 MINDANAO WAY STE 300
MARINA DEL REY, CA 90292
Los Angeles County (310) 574-0415
GRANT D. SHIFFLETT, MD INC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
13160 MINDANAO WAY STE 300
MARINA DEL REY, CA 90292
Los Angeles County (310) 574-0400
BRIANNA ROSE YURIKO SUGIMOTO
Physician Assistant
13160 MINDANAO WAY STE 300
MARINA DEL REY, CA 90292
Los Angeles County (310) 437-7925
DR. DENNIS YUN MD
Pain Medicine (Interventional Pain Medicine)
13160 MINDANAO WAY STE 300
MARINA DEL REY, CA 90292
Los Angeles County (855) 985-7246
NEIL BHAMB M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
13160 MINDANAO WAY STE 300
MARINA DEL REY, CA 90292
Los Angeles County (415) 687-1671
ROJEH MELIKIAN, MD INC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
13160 MINDANAO WAY STE 300
MARINA DEL REY, CA 90292
Los Angeles County (310) 574-0400
MELIKIAN MD A PROFESSSIONAL CORPORATION
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
13160 MINDANAO WAY STE 300
MARINA DEL REY, CA 90292
Los Angeles County (310) 426-8206

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 Ortho, Inc.'s NPI number?

The NPI number for Marina Ortho, Inc. is 1184134892. It was assigned to this organization in the NPPES registry on October 8, 2017. The provider is also known as Diagnostic And Interventional Spine Care, A Medical Corporation.

Where is Marina Ortho, Inc. located?

Marina Ortho, Inc. is located at 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292. The listed phone number is (310) 574-0367.

What is Marina Ortho, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Marina Ortho, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1052088) is associated with this NPI, valid through March 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marina Ortho, Inc. was last updated on October 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.