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Michael Lewis Black, MD
Diagnostic Ultrasound Physician in Santa Ana, California
NPI 1780620955

Michael Lewis Black is a Diagnostic Ultrasound Physician based in Irvine, CA and is specialized in Diagnostic Ultrasound. Michael Lewis Black practices in Santa Ana, CA and has the professional credentials of MD. The NPI Number for Michael Lewis Black is 1780620955 and holds a License No. G55416 (California).

The current practice location address for Michael Lewis Black is 1100 N Tustin Ave, Santa Ana, CA and can be reached out via phone at 714-835-6055 and via fax at 714-835-3287.

Location: 1100 N Tustin Ave, Santa Ana, CA, 92620-1854
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780620955
Provider Name
Michael Lewis Black
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1100 N Tustin Ave, Santa Ana, CA, 92620-1854
Phone Number
714-835-6055
Fax Number
714-835-3287
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G554160 05 CA
institution
Provider Business Practice Location Address Details
Address
1100 N Tustin Ave
City
Santa Ana
State
California
Zip
92705-3509
Phone Number
714-835-6055
Fax Number
714-835-3287
person
Provider Business Mailing Address Details
Address
1100 N Tustin Ave
City
Santa Ana
State
California
Zip
92705-3509
Phone Number
714-835-6055
Fax Number
714-835-3287
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
G55416 (California)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
G55416 (California)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G55416 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
2085U0001X
License No.
G55416 (California)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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