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

Northwest Surgical Development of Marina Del Rey, LLC

Organization Plastic Surgery Physician · NPI 1548004971

Northwest Surgical Development of Marina Del Rey, LLC provides Plastic Surgery Physician services in Marina del Rey, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4560 Admiralty Way Ste 256
Marina del Rey, CA 90292-5444
Phone: (310) 827-2653
Fax: (310) 827-1493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1548004971
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Martinez — Assistant Manager · (310) 827-2653
NPI enumeratedJune 20, 2024
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing address4560 Admiralty Way Ste 256, Marina Del Rey, CA 90292-5444

Other providers in Marina del Rey