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
Fax: (310) 459-5326
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134203656 NPPES
California Other G24174 PTAN
California MEDICAID 00G241740 PTAN

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