| Organization Name: | ROBERT MARRIOTT MEDICAL CORP |
| NPI Number: | 1083883938 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT JAMES MARRIOTT (OWNER/CEO) |
| Mailing Address: | 863 N Douglas St Suite 100 El Segundo |
| State: | CA US |
| Postal Code: | 902452801 |
| Phone Number: | 3105241300 |
| Fax Number: | 3105241307 |
| NPI Enumeration Date: | 02/25/2008 |
| NPI Last Update Date: | 09/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | A92018 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |