Marina Ortho, Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MARINA ORTHO, INC.

Practice address

13160 Mindanao Way Ste 300
Marina del Rey, CA 90292-6393

Phone

(310) 574-0367

NPI assigned

Oct 8, 2017

Last updated

Oct 28, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dawn Marie Kennedy

Title

Practice Administrator

Phone

(310) 574-0367

Specialties & licenses 2

Addresses

Other names 1

• DIAGNOSTIC AND INTERVENTIONAL SPINE CARE, A MEDICAL CORPORATION Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509148800000",
    "number": "1184134892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY STE 300",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926393",
            "telephone_number": "310-574-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY STE 300",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926393",
            "telephone_number": "310-574-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA ORTHO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-08",
        "last_updated": "2017-10-28",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "310-574-0367"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIAGNOSTIC AND INTERVENTIONAL SPINE CARE, A MEDICAL CORPORATION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marina Dental Center
• Marina Dental Center
• Marina Dental Center
• Marina Dermatology Associates (Comprehensive Skin Care)
• Marina Optometry a Professional Corporation
• Marina Outpatient Surgery Center
• Marina Psychological Services
• Marina View Surgery Center
• Marina Women's Medical Group, Inc.
• Marius Saines, M.D. Professional Corp

• Multi-Specialty Clinic/Center in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.