Individual
DR. EDWARD J BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27871 MEDICAL CENTER RD, SUITE 200, MISSION VIEJO, CA 92691-6404
(949) 364-5090
(949) 542-8710
Mailing address
26522 LA ALAMEDA, SUITE 120, MISSION VIEJO, CA 92691-6330
(949) 282-1671
(949) 367-0518
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G45827
CA
207RG0100X
Gastroenterology Physician
Primary
G45827
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G458270
—
CA
Enumeration date
12/21/2005
Last updated
01/22/2013
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