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

Shore Orthopedics a Professional Corporation

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1376312074

Shore Orthopedics a Professional Corporation is a Sports Medicine (Orthopaedic Surgery) Physician in Marina del Rey, California. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

4551 Glencoe Ave Ste 145
Marina del Rey, CA 90292-6385
Phone: (949) 988-7800
Show map & directions

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

Additional practice locations (1)

  • 3501 Jamboree Rd Ste 1250, Newport Beach, CA 92660-2959 — (949) 988-7800

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X
Medical Specialty Clinic/Center Taxonomy 261QM2500X

Record details

NPI number1376312074
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Shore — Owner · (617) 686-7177
NPI enumeratedDecember 22, 2023
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024
Mailing address2009 Faymont Ave, Manhattan Beach, CA 90266-4150

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