Block, Michael R
Block, Michael R is an sole proprietor health care provider with primary practice located at 970 Monument St Suite 210, Pacific Palisades CA 90272-3891. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Block, Michael R can be contacted via phone (310) 459-4321.Contact Information
Primary practice address
970 Monument St Suite 210
Pacific Palisades CA 90272-3891
Phone: (310) 459-4321
Fax: (310) 459-5326
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G24174 | California |
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | G24174 | California |
Profile Details
NPI number | 1134203656 |
---|---|
LBN Legal business name | Block, Michael R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 24th, 2006 |
Last updated | Sep 13th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134203656 | NPPES |
California | Other | G24174 | PTAN |
California | MEDICAID | 00G241740 | PTAN |
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