MEDICARE: MICHAEL GREGORY BABIKIAN

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1598617862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL GREGORY BABIKIAN

Provider Business Mailing Address
First Line	:	5358 MORNING SAGE WAY
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-5051
Country	:	US
Telephone Number	:	858-245-4350
Fax Number	:

Provider Business Practice Location Address
First Line	:	7703 FLOYD CURL DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3901
Country	:	US
Telephone Number	:	858-245-4350
Fax Number	:

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

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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