Provider Demographics
NPI:1467562140
Name:GARB, ALISON C
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:C
Last Name:GARB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 MONUMENT ST
Mailing Address - Street 2:STE 210
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-3891
Mailing Address - Country:US
Mailing Address - Phone:310-459-4321
Mailing Address - Fax:310-459-5326
Practice Address - Street 1:970 MONUMENT ST
Practice Address - Street 2:STE 210
Practice Address - City:PACIFIC PALISADES
Practice Address - State:CA
Practice Address - Zip Code:90272-3891
Practice Address - Country:US
Practice Address - Phone:310-459-4321
Practice Address - Fax:310-459-5326
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA83385207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA83385Medicare PIN