Port, Michael
Port, Michael is an sole proprietor health care provider with primary practice located at 13160 Mindanao Way Suite #300, Marina Del Rey CA 90292-6358. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Port, Michael can be contacted via phone (310) 854-3800.Contact Information
Primary practice address
13160 Mindanao Way Suite #300
Marina Del Rey CA 90292-6358
Phone: (310) 854-3800
Fax: (310) 854-3820
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G77719 | California |
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | G77719 | California |
Profile Details
NPI number | 1710005731 |
---|---|
LBN Legal business name | Port, Michael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 27th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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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