Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL LEWIS BLACK, M.D.
ActiveNeuroradiology · SANTA ANA, CA
Registration Details
- NPI Number
- 1780620955
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2006 (19.830035043292 yrs)
- Last Updated
- May 8, 2014
- Licenses
-
G55416 (CA)G55416 (CA)G55416 (CA)G55416 (CA)
Practice Information
- Address
-
1100 N TUSTIN AVESANTA ANA, CA, 927053509Browse CA providers · Browse ZIP 92705
- Phone
- 7148356055
- Fax
- 7148353287
- Primary Specialty
-
Neuroradiology
2085N0700X
- Additional Specialty
- Neuroradiology
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Ultrasound
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.