MEDICARE: DR. REBECCA ALLISON GARFINKLE D.O.

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	208000000X	Pediatrics Physician	DOS-1015	HI
2	2080P0008X	Pediatric Neurodevelopmental Disabilities Physician	20A12878	CA

General Provider Information

NPI Number	:	1003993353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA ALLISON GARFINKLE D.O.

Provider Business Mailing Address
First Line	:	30131 TOWN CENTER DR STE 245
Second Line	:
City	:	LAGUNA NIGUEL
State	:	CA
Zip	:	92677-2033
Country	:	US
Telephone Number	:	949-495-9600
Fax Number	:

Provider Business Practice Location Address
First Line	:	30131 TOWN CENTER DR STE 245
Second Line	:
City	:	LAGUNA NIGUEL
State	:	CA
Zip	:	92677-2033
Country	:	US
Telephone Number	:	949-495-9600
Fax Number	:	949-249-7848

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	03/31/2014

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