1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Clinic Center
  6. NPI Profile

VENICE CULVER MARINA MEDICAL GROUP INC
NPI 1376711440
Clinic/Center - Multi-Specialty in Los Angeles, CA

Active since February 12, 2008
12212 W WASHINGTON BLVD, LOS ANGELES, CA 90066(310) 391-5241(310) 397-4324 Get Directions Write a Review

NPPES record last updated: October 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2017, Aug 28, 2017 (2 updates tracked since 2017).

About Venice Culver Marina Medical Group Inc NPPES

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

VENICE CULVER MARINA MEDICAL GROUP INC (NPI 1376711440) is a healthcare organization registered as a multi-specialty in Los Angeles, California and active in the NPI registry since February 2008. The organization lists Jay Tehrani, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1376711440
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameVENICE CULVER MARINA MEDICAL GROUP INC
Location Address12212 W WASHINGTON BLVDLos Angeles, CA 90066
Mailing AddressPo Box 24706Los Angeles, CA 90024 · (310) 391-5241 · Fax (310) 397-4324
Phone(310) 391-5241
Fax(310) 397-4324
Organization SubpartYes
Authorized OfficialJay TehraniBilling Manager · (310) 672-9000
Enumeration DateFebruary 12, 2008
Last NPPES UpdateOctober 10, 20172 updates tracked since enumeration
✔ NPI 1376711440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in CA · A32561
12212 W WASHINGTON BLVD, Los Angeles, CA 90066
Open in Google Maps ↗

Other Identifiers 2

Medicare PINW13797CA
Medicare UPINW13797CA

Other Providers at the Same Location NPPES 5

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

FRANCK JUSTE MEDICAL PC
Clinic/Center (Urgent Care)
12212 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 391-5241
H G ZIAEE MD CORP
General Practice
12212 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 391-5241
MR. DAVID NIKNIA PHYSICIAN ASSISTANT
Physician Assistant
12212 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 391-5241
LILIAN JANNET SERPAS MPH, PA-C
Physician Assistant
12212 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 391-5241
MISS TINA LEE TAYLOR RN
Registered Nurse
12212 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Los Angeles County (310) 391-5241

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 Venice Culver Marina Medical Group Inc's NPI number?

The NPI number for Venice Culver Marina Medical Group Inc is 1376711440. It was assigned to this organization in the NPPES registry on February 12, 2008.

Where is Venice Culver Marina Medical Group Inc located?

Venice Culver Marina Medical Group Inc is located at 12212 W Washington Blvd, Los Angeles, CA 90066. The listed phone number is (310) 391-5241.

What is Venice Culver Marina Medical Group Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Venice Culver Marina Medical Group Inc was last updated on October 10, 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.