Marina Center Neurodiagnostics INC

NPI #1891106712 in Venice, California

Provider Information

NPI Number: 1891106712
Entity Type: Organization
Organization Name: Marina Center Neurodiagnostics INC
Primary Specialty: General Practice
Enumeration Date: May 13, 2014
Last Updated: May 13, 2014

Practice Location

Address: 3011 GRAYSON AVE
City: Venice
State: California
ZIP Code: 90291-4651
Phone: (562) 201-3874

Authorized Official

Name: EDWARDS MICHAEL, MD
Title: OWNER
Phone: (562) 201-3874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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