MEDICARE: DR. MICHAEL N KABAR 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	2084P0800X	Psychiatry Physician	A053581	CA

General Provider Information

NPI Number	:	1023011038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL N KABAR M.D.

Provider Business Mailing Address
First Line	:	22501 CHASE APT 1203
Second Line	:
City	:	ALISO VIEJO
State	:	CA
Zip	:	92656-6096
Country	:	US
Telephone Number	:	949-239-8844
Fax Number	:	949-239-8844

Provider Business Practice Location Address
First Line	:	22501 CHASE APT 1203
Second Line	:
City	:	ALISO VIEJO
State	:	CA
Zip	:	92656-6096
Country	:	US
Telephone Number	:	949-239-8844
Fax Number	:	949-239-8844

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	05/18/2020

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