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

Northwest Surgical Development of Marina Del Rey, LLC

Organization Plastic Surgery Physician · NPI 1548004971

Northwest Surgical Development of Marina Del Rey, LLC is a Plastic Surgery Physician 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
Show map & directions

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

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