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

Petrel Emergency Physicians, a Medical Corporation

Organization Emergency Medicine Physician · NPI 1154734663

Petrel Emergency Physicians, a Medical Corporation is an Emergency Medicine Physician in Marina del Rey, California. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

4650 Lincoln Blvd
Marina del Rey, CA 90292-6306
Phone: (469) 401-2386
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1154734663
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Vaughn — Officer · (973) 251-1132
NPI enumeratedJune 3, 2014
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023
Mailing address13737 Noel Rd, Ste 1600, Dallas, TX 75240-1331

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