Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL PORT, M.D.
Active Sole ProprietorMICHAEL PORT, M.D. is a Vascular Surgery healthcare provider located in MARINA DEL REY, California. NPI 1710005731 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · MARINA DEL REY, CA
Registration Details
- NPI Number
- 1710005731
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2007 (19.384462476276 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
G77719 (CA)G77719 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13160 MINDANAO WAYSUITE #300MARINA DEL REY, CA, 902926358Browse CA providers · Browse ZIP 90292
- Phone
- 3108543800
- Fax
- 3108543820
- Primary Specialty
-
Vascular Surgery
208VP0000X
- Additional Specialty
- Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.