# ROBERT J MARRIOTT MEDICAL CORP

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

## Provider details

- **NPI number:** 1245667013
- **Authorized official:** ROBERT J MARRIOTT MD (CEO)
- **Authorized official phone:** (310) 524-1320

## Contact information

- **Practice address:** 5475 E LA PALMA AVE, SUITE 204, ANAHEIM, CA 92807-2075
- **Practice address phone:** (310) 524-1320
- **Practice address fax:** (310) 706-4212
- **Mailing address:** 222 N SEPULVEDA BLVD, SUITE 2175, EL SEGUNDO, CA 90245-5639
- **Mailing address phone:** (310) 524-1320
- **Mailing address fax:** (310) 706-4212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2013
- **Last updated:** 02/24/2015