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:
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Health care specialties

SpecialtyCodeLicense #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 19 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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