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NPI Code Detail

MEDICARE: DR. ALFRED W GARBUTT III D.C.

MEDICARE: DR. ALFRED W GARBUTT III D.C.
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
1111NN1001XNutrition ChiropractorDC 12408CA
2111NR0400XRehabilitation ChiropractorDC 12408CA
3111NS0005XSports Physician ChiropractorDC 12408CA

General Provider Information

NPI Number : 1841315108
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALFRED W GARBUTT III D.C.
Provider Business Mailing Address
First Line : 3810 LA CRESCENTA AVE
Second Line : SUITE B
City : LA CRESCENTA
State : CA
Zip : 91214-3914
Country : US
Telephone Number : 818-248-5570
Fax Number :
Provider Business Practice Location Address
First Line : 3810 LA CRESCENTA AVE
Second Line : SUITE B
City : LA CRESCENTA
State : CA
Zip : 91214-3914
Country : US
Telephone Number : 818-248-5570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 09/11/2025

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