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

Vineyard Medical Services, a Med Corp

Organization Emergency Medicine Physician · NPI 1972976603

Vineyard Medical Services, a Med Corp is an Emergency Medicine Physician in Marina del Rey, California. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
3
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4650 Lincoln Blvd
Marina del Rey, CA 90292-6306
Phone: (469) 401-2386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1972976603
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angel Iscovich — Officer · (469) 401-2386
NPI enumeratedNovember 3, 2015
Last updated in NPPESNovember 3, 2015
Mailing addressPo Box 98564, Las Vegas, NV 89193-8564

Other providers in Marina del Rey