Organization
ROBERT MARRIOTT MEDICAL CORP
Active
Other names
Advantage Wound Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JAMES MARRIOTT M.D. (OWNER/CEO)
(310) 402-6811
Entity
Organization
Contact information
Practice address
222 N PACIFIC COAST HWY STE 2175, EL SEGUNDO, CA 90245-5639
(877) 878-3289
(877) 817-3227
Mailing address
222 N PACIFIC COAST HWY STE 2175, EL SEGUNDO, CA 90245-5639
(877) 878-3289
(877) 817-3227
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A92018
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
A92018
CA
Other
Enumeration date
02/25/2008
Last updated
06/04/2021
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