Porot, Marc J
Porot, Marc J is an sole proprietor health care provider with primary practice located at 515 S Van Ness Ave , Los Angeles CA 90020-4616. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Porot, Marc J can be contacted via phone (213) 493-2086.Contact Information
Primary practice address
515 S Van Ness Ave
Los Angeles CA 90020-4616
Phone: (213) 493-2086
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A42809 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | A42809 | California |
Profile Details
| NPI number | 1750347159 |
|---|---|
| LBN Legal business name | Porot, Marc J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Dec 3rd, 2014 - about 11 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 | 1750347159 | NPPES |
| Idaho | Other | 000010150034 | REGENCE BLUE SHIELD |
| Idaho | Other | HB401 | REGENCE BLUE SHIELD |
| Idaho | Other | 74138 | REGENCE BLUE SHIELD |
| Idaho | MEDICAID | 807141500 | REGENCE BLUE SHIELD |
| Idaho | Other | 268236 | REGENCE BLUE SHIELD |
| Idaho | Other | 313072 | REGENCE BLUE SHIELD |
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