Provider Demographics
NPI:1609872126
Name:ALGARIN, MICHELLE M (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:M
Last Name:ALGARIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23961 MAGDALENA
Mailing Address - Street 2:#520
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653
Mailing Address - Country:US
Mailing Address - Phone:949-855-3376
Mailing Address - Fax:949-609-1971
Practice Address - Street 1:23961 MAGDALENA
Practice Address - Street 2:#520
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653
Practice Address - Country:US
Practice Address - Phone:949-855-3376
Practice Address - Fax:949-609-1971
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2023-03-07
Deactivation Date:2006-03-20
Deactivation Code:
Reactivation Date:2006-03-27
Provider Licenses
StateLicense IDTaxonomies
CAG85189207N00000X, 207ND0101X, 207ND0900X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG85189OtherSTATE LICENSE NUMBER
CA010715071OtherTAX IDENTIFICATION NUMBER
CAWG85189IOtherMEDICARE INDIVIDUAL PTAN
CAP00092882OtherRAILROAD MEDICARE PROVIDER #
CAP00092882OtherRAILROAD MEDICARE PROVIDER #
CA010715071OtherTAX IDENTIFICATION NUMBER
CAP00092882Medicare PIN