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

Grant Stevens, MD, Inc

Organization Plastic Surgery Physician · NPI 1639444714

Grant Stevens, MD, Inc is a Plastic Surgery Physician in Marina del Rey, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
Specialties on file
4
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 552
Marina del Rey, CA 90292-6391
Phone: (310) 827-2653
Fax: (310) 823-1984
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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
Plastic Surgery Physician Taxonomy 208200000X · Licence A116508 (CA)
Plastic Surgery Physician Taxonomy 208200000X · Licence A94136 (CA)
Plastic Surgery Physician Taxonomy 208200000X · Licence G45892 (CA)

Record details

NPI number1639444714
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Palomares — Insurance Coordinator · (310) 827-2653
NPI enumeratedMarch 21, 2012
Last updated in NPPESMay 5, 2014
Mailing address4644 Lincoln Blvd, Suite 552, Marina Del Rey, CA 90292-6391

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