MARINA ORTHO INC. NPI 1184134892

NPI Information

  • NPI: 1184134892
  • Provider Name: MARINA ORTHO, INC.
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Other Name: DIAGNOSTIC AND INTERVENTIONAL SPINE CARE, A MEDICAL CORPORATION
  • Address: 13160 MINDANAO WAY STE 300
    MARINA DEL REY, CA
    ZIP 90292
  • Phone: (310) 574-0367

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NPI Details

MARINA ORTHO, INC. is a multi-specialty clinic center in Marina Del Rey, CA. MARINA ORTHO, INC. NPI is 1184134892. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Diagnostic And Interventional Spine Care, A Medical Corporation.

The provider's business location address is:

13160 MINDANAO WAY STE 300
MARINA DEL REY, CA
ZIP 90292-393
Phone: (310) 574-0367

The provider's authorized official is Dawn Marie Kennedy .
The authorized official title is Practice Administrator and has the following contact phone number (310) 574-0367.

The enumeration date for this NPI number is 10/8/2017 and was last updated on 10/28/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

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: 11/21/2025

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