MICHAEL PORT

MARINA DEL REY, CA
NPI1710005731
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208VP0000X 
(Licence: CA  G77719)
Additional Taxonomies207L00000X Anesthesiology
(Licence: CA  G77719)
Enumeration Date2007-03-27
Last Update Date2025-09-11
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:
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