Provider Demographics
NPI:1669448361
Name:GARBARINI, MICHAEL PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:PETER
Last Name:GARBARINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3098
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90510-3098
Mailing Address - Country:US
Mailing Address - Phone:310-792-3914
Mailing Address - Fax:855-898-4055
Practice Address - Street 1:50 N LA CIENEGA BLVD
Practice Address - Street 2:STE 110
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2339
Practice Address - Country:US
Practice Address - Phone:310-289-7770
Practice Address - Fax:208-782-3994
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM-9972207L00000X
CAA48896207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID000010160164OtherREGENCE BLUE SHIELD BLKFT
IDHB402OtherBLUE CROSS
ID000010164338OtherREGENCE BLUE SHIELD I.F.
ID299466OtherALTIUS OLD
ID76804OtherBLUE CROSS I.F. OLD
ID312964OtherALTIUS
ID76966OtherBLUE CROSS I.F.
ID76803OtherBLUE CROSS OLD BLKFT
ID807628400Medicaid
CAGC684AMedicare PIN
IDHB402OtherBLUE CROSS
CAF51347Medicare UPIN
ID807628400Medicaid