MARCIA J GLENN MD & ASSOCIATES DERMATOLOGY & LASER MED CTR INC
NPI 1396984423
Dermatology in Marina Del Rey, CA

Active since February 12, 2009
4644 LINCOLN BLVD STE 500, MARINA DEL REY, CA 90292(310) 821-7658(310) 301-1783 Get Directions Write a Review

NPPES record last updated: October 26, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marcia J Glenn Md & Associates Dermatology & Laser Med Ctr Inc NPPES

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

MARCIA J GLENN MD & ASSOCIATES DERMATOLOGY & LASER MED CTR INC (NPI 1396984423) is a healthcare organization registered as a dermatology in Marina Del Rey, California and active in the NPI registry since February 2009. The organization lists Marcia J Glenn, President, as its authorized official.

NPPES Registry Identity

NPI1396984423
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMARCIA J GLENN MD & ASSOCIATES DERMATOLOGY & LASER MED CTR INC
Location Address4644 LINCOLN BLVD STE 500Marina Del Rey, CA 90292-6391
Mailing Address4644 Lincoln Blvd Ste 500Marina Del Rey, CA 90292-6391 · (310) 821-7658 · Fax (310) 821-1708
Fax(310) 301-1783
Organization SubpartNo
Authorized OfficialMarcia J GlennPresident · (310) 821-7658
Enumeration DateFebruary 12, 2009
Last NPPES UpdateOctober 26, 2018
✔ NPI 1396984423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · G63373
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License G63373 (CA)
4644 LINCOLN BLVD STE 500, Marina Del Rey, CA 90292

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marcia J Glenn Md & Associates Dermatology & Laser Med Ctr Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Marcia J Glenn MD & Associates Dermatology & Laser Med Ctr Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1780731976
447 N PRAIRIE AVE
Inglewood, CA 90301
(310) 821-7658
✔ PECOS✔ Accepts Medicare5.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Marcia J Glenn MD & Associates Dermatology & Laser Med Ctr Inc's NPI number?

The NPI number for Marcia J Glenn MD & Associates Dermatology & Laser Med Ctr Inc is 1396984423. It was assigned to this organization in the NPPES registry on February 12, 2009.

Where is Marcia J Glenn MD & Associates Dermatology & Laser Med Ctr Inc located?

Marcia J Glenn MD & Associates Dermatology & Laser Med Ctr Inc is located at 4644 Lincoln Blvd Ste 500, Marina Del Rey, CA 90292. The listed phone number is (310) 821-7658.

What is Marcia J Glenn MD & Associates Dermatology & Laser Med Ctr Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Marcia J Glenn MD & Associates Dermatology & Laser Med Ctr Inc enrolled in Medicare?

Yes. Marcia J Glenn MD & Associates Dermatology & Laser Med Ctr Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marcia J Glenn MD & Associates Dermatology & Laser Med Ctr Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Marcia J Glenn MD & Associates Dermatology & Laser Med Ctr Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Marcia J Glenn MD & Associates Dermatology & Laser Med Ctr Inc was last updated on October 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.