Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marina Center Neurodiagnostics Inc

Organization General Practice Physician · NPI 1891106712

Marina Center Neurodiagnostics Inc provides General Practice Physician services in Venice, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
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

3011 Grayson Ave
Venice, CA 90291-4651 Not confirmed with CMS for 12 years — call before visiting
Phone: (562) 201-3874
Fax: (866) 441-8248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence C3298806 (CA)

Record details

NPI number1891106712
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edwards Michael — Owner · (562) 201-3874
NPI enumeratedMay 13, 2014
Last updated in NPPESMay 13, 2014
Mailing address3011 Grayson Ave, Venice, CA 90291-4651

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