MEDICARE: DR. MICHAEL PETER GARBARINI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	M-9972	ID
2	207L00000X	Anesthesiology Physician	A48896	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000010160164	OTHER	ID	REGENCE BLUE SHIELD BLKFT
2	HB402	OTHER	ID	BLUE CROSS
3	000010164338	OTHER	ID	REGENCE BLUE SHIELD I.F.
4	299466	OTHER	ID	ALTIUS OLD
5	76804	OTHER	ID	BLUE CROSS I.F. OLD
6	312964	OTHER	ID	ALTIUS
7	76966	OTHER	ID	BLUE CROSS I.F.
8	76803	OTHER	ID	BLUE CROSS OLD BLKFT
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669448361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL PETER GARBARINI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3098
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90510-3098
Country	:	US
Telephone Number	:	310-792-3914
Fax Number	:	855-898-4055

Provider Business Practice Location Address
First Line	:	50 N LA CIENEGA BLVD
Second Line	:	STE 110
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2339
Country	:	US
Telephone Number	:	310-289-7770
Fax Number	:	208-782-3994

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	07/16/2013

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