| Michael Port, MD | |
|
13160 Mindanao Way, Suite #300, Marina Del Rey, CA 90292-6358 | |
| (310) 854-3800 | |
| (310) 854-3820 |
| Full Name | Michael Port |
|---|---|
| Gender | Male |
| Speciality | Pain Medicine - Pain Medicine |
| Location | 13160 Mindanao Way, Marina Del Rey, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710005731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | G77719 (California) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | G77719 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Port, MD 125 Eucalyptus Dr, El Segundo, CA 90245-3839 Ph: () - | Michael Port, MD 13160 Mindanao Way, Suite #300, Marina Del Rey, CA 90292-6358 Ph: (310) 854-3800 |
Dr. Edward Carden, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 13160 Mindanao Way, Suite 300, Marina Del Rey, CA 90292 Phone: 310-842-8668 Fax: 310-842-8669 |