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ODYSSEY MEDICAL GROUP
NPI 1932320256
Specialist in Marina Del Rey, CA

Active since May 02, 2007
4832 LINCOLN BLVD, MARINA DEL REY, CA 90292(310) 821-7658(310) 821-1708 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Odyssey Medical Group NPPES

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

ODYSSEY MEDICAL GROUP (NPI 1932320256) is a healthcare organization registered as a specialist in Marina Del Rey, California and active in the NPI registry since May 2007. The organization lists Marica Glenn, Owner, as its authorized official.

NPPES Registry Identity

NPI1932320256
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameODYSSEY MEDICAL GROUP
Location Address4832 LINCOLN BLVDMarina Del Rey, CA 90292-6917
Mailing Address4832 Lincoln BlvdMarina Del Rey, CA 90292-6917 · (310) 821-7658 · Fax (310) 821-1708
Phone(310) 821-7658
Fax(310) 821-1708
Organization SubpartNo
Authorized OfficialMarica GlennOwner · (310) 821-7658
Enumeration DateMay 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1932320256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in CA · G79180✔ Licensed in CA · E4238✔ Licensed in CA · C35069✔ Licensed in CA · A96388
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4832 LINCOLN BLVD, Marina Del Rey, CA 90292
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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 3

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

DEAN PLASTIC SURGERY ASSOCIATES, INC.
Plastic Surgery
4832 LINCOLN BLVD
MARINA DEL REY, CA 90292
Los Angeles County (310) 860-0646
MS. MELEA DELISE FUTRELL PA-C
Physician Assistant (Medical)
4832 LINCOLN BLVD
MARINA DEL REY, CA 90292
Los Angeles County (310) 821-7658
SHAY BYRON DEAN MD
Surgery (Plastic and Reconstructive Surgery)
4832 LINCOLN BLVD
MARINA DEL REY, CA 90292
Los Angeles County (310) 482-6910

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 Odyssey Medical Group's NPI number?

The NPI number for Odyssey Medical Group is 1932320256. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Odyssey Medical Group located?

Odyssey Medical Group is located at 4832 Lincoln Blvd, Marina Del Rey, CA 90292. The listed phone number is (310) 821-7658.

What is Odyssey Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Odyssey Medical Group 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.