NORTHWEST SURGICAL DEVELOPMENT OF MARINA DEL REY, LLC
NPI 1548004971
Plastic Surgery in Marina Del Rey, CA

Active since June 20, 2024
4560 ADMIRALTY WAY STE 256, MARINA DEL REY, CA 90292(310) 827-2653(310) 827-1493 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Northwest Surgical Development Of Marina Del Rey, Llc NPPES

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

NORTHWEST SURGICAL DEVELOPMENT OF MARINA DEL REY, LLC (NPI 1548004971) is a healthcare organization registered as a plastic surgery in Marina Del Rey, California and active in the NPI registry since June 2024. The organization lists Jessica Martinez, Assistant Manager, as its authorized official.

NPPES Registry Identity

NPI1548004971
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameNORTHWEST SURGICAL DEVELOPMENT OF MARINA DEL REY, LLC
Location Address4560 ADMIRALTY WAY STE 256Marina Del Rey, CA 90292-5444
Mailing Address4560 Admiralty Way Ste 256Marina Del Rey, CA 90292-5444 · (310) 827-2653 · Fax (310) 827-1493
Fax(310) 827-1493
Organization SubpartNo
Authorized OfficialJessica MartinezAssistant Manager · (310) 827-2653
Enumeration DateJune 20, 2024
NPPES CertifiedJune 20, 2024
✔ NPI 1548004971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
4560 ADMIRALTY WAY STE 256, 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

Other Providers at the Same Location NPPES

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

Plastic Surgery
4560 ADMIRALTY WAY STE 256
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 Northwest Surgical Development Of Marina Del Rey, LLC's NPI number?

The NPI number for Northwest Surgical Development Of Marina Del Rey, LLC is 1548004971. It was assigned to this organization in the NPPES registry on June 20, 2024.

Where is Northwest Surgical Development Of Marina Del Rey, LLC located?

Northwest Surgical Development Of Marina Del Rey, LLC is located at 4560 Admiralty Way Ste 256, Marina Del Rey, CA 90292. The listed phone number is (310) 827-2653.

What is Northwest Surgical Development Of Marina Del Rey, LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Northwest Surgical Development Of Marina Del Rey, LLC was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.