Active NPI
La Urogynecology & Endometriosis
- Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
- Marina del Rey, CA
National Provider Identifier
1609791789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
- Legal business name
- LA UROGYNECOLOGY & ENDOMETRIOSIS
- Practice address
- 4325 Glencoe Ave Ste C9-9731
Marina del Rey, CA 90292-9991 - Phone
- (310) 869-3212
- Fax
- (949) 502-8887
- NPI assigned
- Aug 10, 2026
- Organization subpart
- Yes
- Parent organization
- LA UROGYNECOLOGY & ENDOMETRIOSIS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Soorena Fatehchehr, MD
- Title
- Ceo
- Phone
- (310) 869-3212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician | 2088F0040X | Primary |
Addresses
Primary practice location
4325 Glencoe Ave Ste C9-9731
Marina del Rey, CA 90292-9991
Mailing address
4325 Glencoe Ave Ste C9-9731
Marina del Rey, CA 90292-9991
Phone (310) 869-3212
National Provider Directory
National Provider DirectoryLocations
4325 Glencoe Ave
Ste C99731
Marina del Rey, CA 90292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786320000000",
"number": "1609791789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4325 GLENCOE AVE STE C9-9731",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902929991",
"telephone_number": "310-869-3212",
"fax_number": "949-502-8887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4325 GLENCOE AVE STE C9-9731",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902929991",
"telephone_number": "310-869-3212",
"fax_number": "949-502-8887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA UROGYNECOLOGY & ENDOMETRIOSIS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LA UROGYNECOLOGY & ENDOMETRIOSIS INC",
"enumeration_date": "2026-08-10",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A",
"authorized_official_last_name": "FATEHCHEHR",
"authorized_official_first_name": "SOORENA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-869-3212",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2088F0040X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.