Organization Active NPI

La Urogynecology & Endometriosis

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Marina del Rey, CA
National Provider Identifier
1609791789
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianTaxonomy code 2088F0040X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.