MARINA VIEW SURGERY CENTER NPI 1528308459

NPI Information

  • NPI: 1528308459
  • Provider Name: MARINA VIEW SURGERY CENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D2287724
  • Address: 4640 ADMIRALTY WAY
    SUITE 1002
    MARINA DEL REY, CA
    ZIP 90292
  • Phone: (310) 300-1779

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NPI Details

MARINA VIEW SURGERY CENTER is an ambulatory surgical clinic center in Marina Del Rey, CA. MARINA VIEW SURGERY CENTER NPI is 1528308459. The provider is registered as an organization entity type.

The provider's business location address is:

4640 ADMIRALTY WAY
SUITE 1002
MARINA DEL REY, CA
ZIP 90292-621
Phone: (310) 300-1779

The provider's authorized official is David Stoker .
The authorized official title is Owner and has the following contact phone number (310) 300-1779.

The CLIA number assigned to this NPI record is 05D2287724 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2013 and was last updated on 3/1/2013.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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