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