Provider Demographics
NPI:1023011038
Name:KABAR, MICHAEL N (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:N
Last Name:KABAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:22501 CHASE APT 1203
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-6096
Mailing Address - Country:US
Mailing Address - Phone:949-239-8844
Mailing Address - Fax:949-239-8844
Practice Address - Street 1:22501 CHASE APT 1203
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-6096
Practice Address - Country:US
Practice Address - Phone:949-239-8844
Practice Address - Fax:949-239-8844
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA0535812084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A535810Medicare PIN
CAG10638Medicare UPIN