Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Marcia J Glenn MD & Associates Dermatology & Laser Med Ctr Inc

Organization Dermatology Physician · NPI 1396984423

Marcia J Glenn MD & Associates Dermatology & Laser Med Ctr Inc provides Dermatology Physician services in Marina del Rey, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4644 Lincoln Blvd Ste 500
Marina del Rey, CA 90292-6391
Phone: (310) 821-7658
Fax: (310) 301-1783
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence G63373 (CA)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence G63373 (CA)

Record details

NPI number1396984423
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marcia Glenn — President · (310) 821-7658
NPI enumeratedFebruary 12, 2009
Last updated in NPPESOctober 26, 2018
Mailing address4644 Lincoln Blvd Ste 500, Marina Del Rey, CA 90292-6391

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