| Marina Center Neurodiagnostics Inc | |
|
3011 Grayson Ave Venice CA 90291-4651 | |
| (562) 201-3874 | |
| (866) 441-8248 |
| Full Name | Marina Center Neurodiagnostics Inc |
|---|---|
| Speciality | General Practice |
| Location | 3011 Grayson Ave, Venice, California |
| Authorized Official Name and Position | Edwards Michael (OWNER) |
| Authorized Official Contact | 5622013874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marina Center Neurodiagnostics Inc 3011 Grayson Ave Venice CA 90291-4651 Ph: (562) 201-3874 | Marina Center Neurodiagnostics Inc 3011 Grayson Ave Venice CA 90291-4651 Ph: (562) 201-3874 |
| NPI Number | 1891106712 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 05/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891106712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | C3298806 (California) | Primary |
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