| Marina Cosmetic & Implant Center | |
|
13286 Fiji Way Marina Del Rey CA 90292-7119 | |
| (310) 821-2611 | |
| Not Available |
| Full Name | Marina Cosmetic & Implant Center |
|---|---|
| Speciality | Dentist |
| Location | 13286 Fiji Way, Marina Del Rey, California |
| Authorized Official Name and Position | William Ginzburg (PRESIDENT) |
| Authorized Official Contact | 3102680646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marina Cosmetic & Implant Center 13286 Fiji Way Marina Del Rey CA 90292-7119 Ph: (310) 821-2611 | Marina Cosmetic & Implant Center 13286 Fiji Way Marina Del Rey CA 90292-7119 Ph: (310) 821-2611 |
| NPI Number | 1457834889 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 09/12/2018 |
| Medicare PECOS PAC ID | 6103169529 |
|---|---|
| Medicare Enrollment ID | O20190528000769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457834889 | NPI | - | NPPES |
| Provider Name | Bill E Ginzburg |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1336360510 PECOS PAC ID: 8224334107 Enrollment ID: I20190528000996 |
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