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PROVIDENCE HEALTHCARE INC
NPI 1760984033
Orthopaedic Surgery in Marina Del Rey, CA

Active since March 02, 2018
13160 MINDANAO WAY, MARINA DEL REY, CA 90292(310) 437-7923(310) 561-1927 Get Directions Write a Review

NPPES record last updated: March 2, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Providence Healthcare Inc NPPES

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

PROVIDENCE HEALTHCARE INC (NPI 1760984033) is a healthcare organization registered as an orthopaedic surgery in Marina Del Rey, California and active in the NPI registry since March 2018. The organization lists Dean Matsuda, President, as its authorized official.

NPPES Registry Identity

NPI1760984033
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NamePROVIDENCE HEALTHCARE INC
Location Address13160 MINDANAO WAYMarina Del Rey, CA 90292-6358
Mailing Address214 Main StEl Segundo, CA 90245-3803 · (310) 322-4278 · Fax (310) 570-2231
Phone(310) 437-7923
Fax(310) 561-1927
Organization SubpartNo
Authorized OfficialDean MatsudaPresident · (310) 963-0994
Enumeration DateMarch 2, 2018
✔ NPI 1760984033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CA · G056259
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
13160 MINDANAO WAY, Marina Del Rey, CA 90292
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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.

DR. RICHARD GEORGE BOUDREAU D.D.S.
Dentist (Oral and Maxillofacial Surgery)
13160 MINDANAO WAY, SUITE 120
MARINA DEL REY, CA 90292
Los Angeles County (310) 822-6161
SARAH S. MILLER MD, INCORPORATED
Physical Medicine & Rehabilitation
13160 MINDANAO WAY, SUITE 300
MARINA DEL REY, CA 90292
Los Angeles County (310) 574-0400
DAVID KAPLOWITZ MD
Internal Medicine
13160 MINDANAO WAY, SUITE 252
MARINA DEL REY, CA 90292
Los Angeles County (310) 823-4993
MS. LISA ANNE PENNY M.A.
Marriage & Family Therapist
13160 MINDANAO WAY, #300
MARINA DEL REY, CA 90292
Los Angeles County (310) 990-9164
DR. NATALIA MARIA HOMYAK DDS
Dentist (General Practice)
13160 MINDANAO WAY, ROOM 170
MARINA DEL REY, CA 90292
Los Angeles County (310) 823-6400
DR. ROBERT S BRAY JR. M.D.
Neurological Surgery
13160 MINDANAO WAY, SUITE #300
MARINA DEL REY, CA 90292
Los Angeles County (310) 854-3800
DR. RAE L HADLEY PSY.D.
Psychologist (Clinical)
13160 MINDANAO WAY
MARINA DEL REY, CA 90292
Los Angeles County (925) 282-1778
DR. JEREMY SCOTT SUMMERS D.C.
Chiropractor (Sports Physician)
13160 MINDANAO WAY, SUITE 308
MARINA DEL REY, CA 90292
Los Angeles County (310) 574-0395

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 Providence Healthcare Inc's NPI number?

The NPI number for Providence Healthcare Inc is 1760984033. It was assigned to this organization in the NPPES registry on March 2, 2018.

Where is Providence Healthcare Inc located?

Providence Healthcare Inc is located at 13160 Mindanao Way, Marina Del Rey, CA 90292. The listed phone number is (310) 437-7923.

What is Providence Healthcare Inc's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Providence Healthcare Inc was last updated on March 2, 2018. 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.