# MARINA WOMEN'S MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104846682
- **Authorized official:** DR. DALE GENE PARKS M.D. (MD/OWNER)
- **Authorized official phone:** (310) 822-5066

## Contact information

- **Practice address:** 4560 ADMIRALTY WAY, 303, MARINA DEL REY, CA 90292-5423
- **Practice address phone:** (310) 822-5066
- **Practice address fax:** (310) 827-4420
- **Mailing address:** 4560 ADMIRALTY WAY, 303, MARINA DEL REY, CA 90292-5423
- **Mailing address phone:** (310) 822-5066
- **Mailing address fax:** (310) 827-4420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | C35271 | CA | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 07/13/2010