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MARINA CENTER NEURODIAGNOSTICS INC
NPI 1891106712
General Practice in Venice, CA

Active since May 13, 2014
3011 GRAYSON AVE, VENICE, CA 90291(562) 201-3874(866) 441-8248 Get Directions Write a Review

NPPES record last updated: May 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marina Center Neurodiagnostics Inc NPPES

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

MARINA CENTER NEURODIAGNOSTICS INC (NPI 1891106712) is a healthcare organization registered as a general practice in Venice, California and active in the NPI registry since May 2014. The organization lists Edwards Michael, Owner, as its authorized official.

NPPES Registry Identity

NPI1891106712
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMARINA CENTER NEURODIAGNOSTICS INC
Location Address3011 GRAYSON AVEVenice, CA 90291-4651
Mailing Address3011 Grayson AveVenice, CA 90291-4651 · (562) 201-3874 · Fax (866) 441-8248
Phone(562) 201-3874
Fax(866) 441-8248
Organization SubpartNo
Authorized OfficialEdwards MichaelOwner · (562) 201-3874
Enumeration DateMay 13, 2014
✔ NPI 1891106712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · C3298806
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3011 GRAYSON AVE, Venice, CA 90291
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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.

LE MEDICAL ASSOCIATES PC
Dermatology
3011 GRAYSON AVE
VENICE, CA 90291
Los Angeles County (562) 201-3874

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 Center Neurodiagnostics Inc's NPI number?

The NPI number for Marina Center Neurodiagnostics Inc is 1891106712. It was assigned to this organization in the NPPES registry on May 13, 2014.

Where is Marina Center Neurodiagnostics Inc located?

Marina Center Neurodiagnostics Inc is located at 3011 Grayson Ave, Venice, CA 90291. The listed phone number is (562) 201-3874.

What is Marina Center Neurodiagnostics Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Marina Center Neurodiagnostics Inc was last updated on May 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.