| Doctor Name: | DR. EDWARD J BLOCK |
| NPI Number: | 1811973860 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | G45827 |
| Business Practice Address: | 27871 Medical Center Rd Suite 200 Mission Viejo, CA - 926916404 |
| Business Phone Number: | 9493645090 |
| Business Fax Number: | 9495428710 |
| Mailing Address: | 26522 La Alameda, Suite 120 MISSION VIEJO |
| State: | CA |
| Postal Code: | 926916330 |
| Phone Number: | 9492821671 |
| Fax Number: | 9493670518 |
| NPI Enumeration Date: | 12/21/2005 |
| NPI Last Update Date: | 01/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | G45827 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |