Organization
NORTHWEST SURGICAL DEVELOPMENT OF MARINA DEL REY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MARTINEZ (ASSISTANT MANAGER)
(310) 827-2653
Entity
Organization
Contact information
Practice address
4560 ADMIRALTY WAY STE 256, MARINA DEL REY, CA 90292-5444
(310) 827-2653
(310) 827-1493
Mailing address
4560 ADMIRALTY WAY STE 256, MARINA DEL REY, CA 90292-5444
(310) 827-2653
(310) 827-1493
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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