MICHAEL PORT

MARINA DEL REY, CA
NPI1710005731
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: CA  G77719)
Additional Taxonomies208VP0000X Pain Medicine, Pain Medicine
(Licence: CA  G77719)
Enumeration Date2007-03-27
Last Update Date2007-07-08
Business Address
-- MICHAEL PORT m.d.
13160 MINDANAO WAY SUITE #300
MARINA DEL REY, CA 90292-6358
Phone number: 310-854-3800
Mailing Address
-- MICHAEL PORT m.d.
125 EUCALYPTUS DR
EL SEGUNDO, CA 90245-3839
Phone number: