MARINA COSMETIC IMPLANT DENTISTRY
NPI 1487861381
Dentist - Periodontics in Marina Del Rey, CA

Active since May 17, 2007
4640 ADMIRALTY WAY, 1001, MARINA DEL REY, CA 90292(310) 821-2677 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marina Cosmetic Implant Dentistry NPPES

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

MARINA COSMETIC IMPLANT DENTISTRY (NPI 1487861381) is a healthcare organization registered as a periodontics in Marina Del Rey, California and active in the NPI registry since May 2007. The organization lists Michael Homayun, Owner, as its authorized official.

NPPES Registry Identity

NPI1487861381
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameMARINA COSMETIC IMPLANT DENTISTRY
Location Address4640 ADMIRALTY WAY, 1001Marina Del Rey, CA 90292-6621
Mailing Address4640 Admiralty Way, 1001Marina Del Rey, CA 90292-6621 · (310) 821-2677
Organization SubpartNo
Authorized OfficialMichael HomayunOwner · (310) 821-2677
Enumeration DateMay 17, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1487861381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in CA · 37838
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4640 ADMIRALTY WAY, Marina Del Rey, CA 90292

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.

Nurse Practitioner (Family)
4640 ADMIRALTY WAY
MARINA DEL REY, CA 90292
Clinical Neuropsychologist
4640 ADMIRALTY WAY, SUITE 500
MARINA DEL REY, CA 90292
Marriage & Family Therapist
4640 ADMIRALTY WAY, SUITE 318
MARINA DEL REY, CA 90292
Nurse Practitioner (Family)
4640 ADMIRALTY WAY
MARINA DEL REY, CA 90292
Obstetrics & Gynecology
4640 ADMIRALTY WAY
MARINA DEL REY, CA 90292
Clinic/Center (Ambulatory Surgical)
4640 ADMIRALTY WAY, STE. 1020
MARINA DEL REY, CA 90292
Clinic/Center (Ambulatory Surgical)
4640 ADMIRALTY WAY, SUITE 1020
MARINA DEL REY, CA 90292
Radiology (Nuclear Radiology)
4640 ADMIRALTY WAY, SUITE 102
MARINA DEL REY, CA 90292

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 Cosmetic Implant Dentistry's NPI number?

The NPI number for Marina Cosmetic Implant Dentistry is 1487861381. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Marina Cosmetic Implant Dentistry located?

Marina Cosmetic Implant Dentistry is located at 4640 Admiralty Way 1001, Marina Del Rey, CA 90292. The listed phone number is (310) 821-2677.

What is Marina Cosmetic Implant Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Marina Cosmetic Implant Dentistry was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.