-- MICHAEL LEWIS BLACK -- M.D.
Individual Provider (NPI-1)
Active
Radiology, Body Imaging
Provider Information
- NPI Number
1780620955- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 1100 N TUSTIN AVE, SANTA ANA, CA, 927053509
- Phone
- (714) 835-6055
- Fax
- (714) 835-3287
Specialties & Taxonomies
Radiology, Body Imaging
License: CA #G55416
Radiology, Diagnostic Radiology
License: CA #G55416
Radiology, Diagnostic Ultrasound
License: CA #G55416
Unknown
Primary License: CA #G55416