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MARCIA J GLENN MD & ASSOCIATES DERMATOLOGY & LASER MED CTR INC NPI 1396984423


NPI Information

NPI: 1396984423
Provider Name: MARCIA J GLENN MD & ASSOCIATES DERMATOLOGY & LASER MED CTR INC
Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
4644 LINCOLN BLVD STE 500
MARINA DEL REY, CA
ZIP 90292
Phone: (310) 821-7658
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MARCIA J GLENN MD & ASSOCIATES DERMATOLOGY & LASER MED CTR INC is a dermatology in Marina Del Rey, CA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. MARCIA J GLENN MD & ASSOCIATES DERMATOLOGY & LASER MED CTR INC NPI is 1396984423. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4644 LINCOLN BLVD STE 500
MARINA DEL REY, CA
ZIP 90292-391
Phone: (310) 821-7658
Fax: (310) 301-1783

The provider's authorized official is Marcia J Glenn .
The authorized official title is President and has the following contact phone number (310) 821-7658.

The enumeration date for this NPI number is 2/12/2009 and was last updated on 10/26/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NP0225XDermatologyPediatric DermatologyG63373CALIFORNIANo
2207N00000XDermatologyG63373CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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