VENICE CULVER MARINA MEDICAL GROUP INC is a multi-specialty clinic center in Los Angeles, CA. VENICE CULVER MARINA MEDICAL GROUP INC NPI is 1376711440. The provider is registered as an organization entity type.
The provider's business location address is:
12212 W WASHINGTON BLVD
LOS ANGELES, CA
ZIP 90066
Phone: (310) 391-5241
Fax: (310) 397-4324
The provider's authorized official is Jay Tehrani .
The authorized official title is Billing Manager and has the following contact phone number (310) 672-9000.
The CLIA number assigned to this NPI record is 05D0934307 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/12/2008 and was last updated on 10/10/2017.