Marina Outpatient Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MARINA OUTPATIENT SURGERY CENTER

Practice address

4560 Admiralty Way
Suite 108
Marina del Rey, CA 90292-5423

Phone

(310) 827-3904

Fax

(310) 827-1493

NPI assigned

Feb 22, 2007

Last updated

Jun 17, 2010By 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

Jessica Palomares

Title

Insurance Coordinator

Phone

(310) 827-3904

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1629103338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 ADMIRALTY WAY",
            "address_2": "SUITE 108",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925423",
            "telephone_number": "310-827-3904",
            "fax_number": "310-827-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 ADMIRALTY WAY",
            "address_2": "SUITE 108",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925423",
            "telephone_number": "310-827-3904",
            "fax_number": "310-827-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA OUTPATIENT SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "PALOMARES",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "310-827-3904"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Ambulatory Surgical Clinic/Center in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.