NPIMap

Organization Active NPI

Marina Whole Health

  • Family Medicine Physician
  • Lakewood, CA
National Provider Identifier
1902420839
Registry record updated Jun 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MARINA WHOLE HEALTH
Practice address
5841 Bellflower Blvd
Lakewood, CA 90713-1057
Phone
(562) 688-5485
NPI assigned
Jun 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2020

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

Authorized official

Name
Dr. Cristal Speller, MD, MPH
Title
Owner
Phone
(310) 923-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5841 Bellflower Blvd
Lakewood, CA 90713-1057

Mailing address

3635 Shannon Rd
Los Angeles, CA 90027-1420
Phone (310) 923-3030

National Provider Directory

National Provider Directory
Tax ID family
Glendale Whole Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1591401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591401600000",
    "number": "1902420839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 SHANNON RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271420",
            "telephone_number": "310-923-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 BELLFLOWER BLVD",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131057",
            "telephone_number": "562-688-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA WHOLE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-06",
        "last_updated": "2020-06-06",
        "certification_date": "2020-06-06",
        "status": "A",
        "authorized_official_last_name": "SPELLER",
        "authorized_official_first_name": "CRISTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-923-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2020; 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.